Lewis Clair Brokaw is a Dentist in Batavia, Ohio. Lewis Clair Brokaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lewis Clair Brokaw is 1215007406. The last update date is 2008-04-07.
Lewis Clair Brokaw's current location address is 497 W Main St, Batavia, Ohio. You can contact this provider via phone number 5137359111 and fax number 5137359222. The mailing address for Lewis Clair Brokaw is 497 W Main St, Batavia, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lewis Clair Brokaw |
|---|---|
| Address | 497 W Main St, Batavia, Ohio |
| Phone Number | 5137359111 |
| Fax Number | 5137359222 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215007406 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 497 W Main St |
|---|---|
| City | Batavia |
| State | Ohio (OH) |
| Post Code | 451031727 |
| Phone Number | 5137359111 |
| Fax Number | 5137359222 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30012840 |
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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 |
|---|---|---|---|
| 2231516 | OH | -- | |
| 2431150 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lewis Clair Brokaw by the Centers for Medicare & Medicaid Services?
The Lewis Clair Brokaw has been issued the NPI (National Provider Identifier) 1215007406, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lewis Clair Brokaw's facilities are geographically located?
The facilities of Lewis Clair Brokaw are physically situated at the following location: 497 W Main St, Batavia, OH, 451031727.
What is Lewis Clair Brokaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lewis Clair Brokaw is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When was the Lewis Clair Brokaw's 1215007406 issued?
The Lewis Clair Brokaw's 1215007406 was issued on 2006-11-08.
As of what date was the information pertaining to Lewis Clair Brokaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lewis Clair Brokaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-07.