Molly Slack in Lebanon - Dentist

Molly Slack - NPI 1053323618

Molly Slack is a Dentist in Lebanon, Oregon. Molly Slack practices all healthcare services and medical treatments related to Dentist. The NPI Number for Molly Slack is 1053323618. The last update date is 2007-07-08.

Molly Slack's current location address is 1200 W Oak St, Lebanon, Oregon. You can contact this provider via phone number 5412587884 and fax number 5412587834. The mailing address for Molly Slack is 1200 W Oak St, Lebanon, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Molly Slack
Address 1200 W Oak St, Lebanon, Oregon
Phone Number 5412587884
Fax Number 5412587834
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1053323618
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1200 W Oak St
City Lebanon
State Oregon (OR)
Post Code 973551254
Phone Number 5412587884
Fax Number 5412587834

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D7600
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 Molly Slack

What is the unique 10-digit identifier code issued to Molly Slack by the Centers for Medicare & Medicaid Services?

The Molly Slack has been assigned the NPI (National Provider Identifier) 1053323618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Molly Slack's facilities are situated?

The facilities of Molly Slack are physically located at the following address: 1200 W Oak St, Lebanon, OR, 973551254.

What is Molly Slack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Molly Slack'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 Molly Slack receive the assignment of its 1053323618 from the Centers for Medicare & Medicaid Services?

The Molly Slack was issued its 1053323618 by the Centers for Medicare & Medicaid Services on 2006-08-12.

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

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

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