Gary Lee Erickson in Red Wing - Dentist

Gary Lee Erickson - NPI 1114930922

Gary Lee Erickson is a Dentist in Red Wing, Minnesota. Gary Lee Erickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Lee Erickson is 1114930922. The last update date is 2007-07-08.

Gary Lee Erickson's current location address is 424 West 5th St, Red Wing, Minnesota. You can contact this provider via phone number 6513885492. The mailing address for Gary Lee Erickson is 424 West 5th St, Red Wing, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Lee Erickson
Address 424 West 5th St, Red Wing, Minnesota
Phone Number 6513885492
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1114930922
Provider Enumeration Date 2006-08-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 424 West 5th St
City Red Wing
State Minnesota (MN)
Post Code 55066
Phone Number 6513885492
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8996
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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FAQs about Gary Lee Erickson

What is the unique identifier code issued to Gary Lee Erickson by the Centers for Medicare & Medicaid Services?

The Gary Lee Erickson has been assigned the NPI (National Provider Identifier) 1114930922. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gary Lee Erickson's facilities are geographically located?

The facilities of Gary Lee Erickson are physically situated at the following location: 424 West 5Th St, Red Wing, MN, 55066.

What is the Gary Lee Erickson's area of specialization and corresponding taxonomy classification?

The Gary Lee Erickson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did the Gary Lee Erickson receive its 1114930922?

The Gary Lee Erickson was issued its 1114930922 on 2006-08-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Gary Lee Erickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gary Lee Erickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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