Paul Ericson is a Dentist in Saranac Lake, New York. Paul Ericson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul Ericson is 1326268616. The last update date is 2008-06-09.
Paul Ericson's current location address is 15 Deerwood Ln, Saranac Lake, New York. You can contact this provider via phone number 5188913856. The mailing address for Paul Ericson is 15 Deerwood Ln, Saranac Lake, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Ericson |
|---|---|
| Address | 15 Deerwood Ln, Saranac Lake, New York |
| Phone Number | 5188913856 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1326268616 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 15 Deerwood Ln |
|---|---|
| City | Saranac Lake |
| State | New York (NY) |
| Post Code | 129833324 |
| Phone Number | 5188913856 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 329701 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 583702 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul Ericson?
The Paul Ericson has been issued the NPI (National Provider Identifier) 1326268616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Paul Ericson?
The Paul Ericson is physically situated at 15 Deerwood Ln, in the city of Saranac Lake, state of NY, with the postal code 129833324.
What is Paul Ericson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Ericson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Paul Ericson receive the assignment of its 1326268616 from the Centers for Medicare & Medicaid Services?
The Paul Ericson was issued its 1326268616 by the Centers for Medicare & Medicaid Services on 2007-04-27.
When was the Paul Ericson's information last updated?
The Paul Ericson's information was last updated on 2008-06-09.