Luke E. Waln is a Dentist in Nisswa, Minnesota. Luke E. Waln practices all healthcare services and medical treatments related to Dentist. The NPI Number for Luke E. Waln is 1740263094. The last update date is 2022-01-27.
Luke E. Waln's current location address is 25477 Main St, Nisswa, Minnesota. You can contact this provider via phone number 2189636330 and fax number 2189636332. The mailing address for Luke E. Waln is 25477 Main St, Nisswa, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luke E. Waln |
|---|---|
| Address | 25477 Main St, Nisswa, Minnesota |
| Phone Number | 2189636330 |
| Fax Number | 2189636332 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740263094 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2022-01-27 |
Provider Mailing Address Detail
| Address | 25477 Main St |
|---|---|
| City | Nisswa |
| State | Minnesota (MN) |
| Post Code | 564685001 |
| Phone Number | 2189636330 |
| Fax Number | 2189636332 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D11842 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Luke E. Waln by the Centers for Medicare & Medicaid Services (CMS)?
The Luke E. Waln has been assigned the NPI (National Provider Identifier) 1740263094. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Luke E. Waln is physically located?
The Luke E. Waln is physically situated at the following address: 25477 Main St, Nisswa, MN, 564685001.
What is the Luke E. Waln's specialty and taxonomy code?
The Luke E. Waln's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740263094 to Luke E. Waln?
The Centers for Medicare & Medicaid Services originally issued the 1740263094 to Luke E. Waln on 2005-11-21.
When was the information related to Luke E. Waln most recently updated or refreshed?
The details pertaining to the Luke E. Waln, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-27.
NPI Number: 1215930425
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