Justin Tyler Dworak in Lincoln - Dentist
Justin Tyler Dworak - NPI 1366458382
Justin Tyler Dworak is a Dentist in Lincoln, Nebraska. Justin Tyler Dworak practices all healthcare services and medical treatments related to Dentist. The NPI Number for Justin Tyler Dworak is 1366458382. The last update date is 2007-07-08.
Justin Tyler Dworak's current location address is 1600 S 70th St, Lincoln, Nebraska. You can contact this provider via phone number 4024893837 and fax number 4024893931. The mailing address for Justin Tyler Dworak is 1600 S 70th St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Tyler Dworak |
|---|---|
| Address | 1600 S 70th St, Lincoln, Nebraska |
| Phone Number | 4024893837 |
| Fax Number | 4024893931 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366458382 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 S 70th St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685061568 |
| Phone Number | 4024893837 |
| Fax Number | 4024893931 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6116 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47063464200 | NE | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Justin Tyler Dworak?
The Justin Tyler Dworak has been issued the NPI (National Provider Identifier) 1366458382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Justin Tyler Dworak's facilities are situated?
The facilities of Justin Tyler Dworak are physically located at the following address: 1600 S 70Th St, Lincoln, NE, 685061568.
What is Justin Tyler Dworak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Justin Tyler Dworak's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Justin Tyler Dworak receive its 1366458382 assignment from the Centers for Medicare & Medicaid Services?
The Justin Tyler Dworak was assigned its 1366458382 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the details pertaining to Justin Tyler Dworak last refreshed?
The information related to the Justin Tyler Dworak, including its address, specialty, and other relevant details, was last updated on 2007-07-08.