Jay Lackman is a Dentist in Bala Cynwyd, Pennsylvania. Jay Lackman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jay Lackman is 1437366457. The last update date is 2007-07-08.
Jay Lackman's current location address is 200 Monument Rd, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106677405 and fax number 6106677409. The mailing address for Jay Lackman is 200 Monument Rd, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Lackman |
|---|---|
| Address | 200 Monument Rd, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106677405 |
| Fax Number | 6106677409 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1437366457 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Monument Rd |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190041726 |
| Phone Number | 6106677405 |
| Fax Number | 6106677409 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS017812L |
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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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What is the unique 10-digit identifier code assigned to Jay Lackman by the Centers for Medicare & Medicaid Services?
The Jay Lackman has been issued the NPI (National Provider Identifier) 1437366457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jay Lackman is physically located?
The Jay Lackman is situated at the following address: 200 Monument Rd, Bala Cynwyd, PA 190041726.
What is Jay Lackman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Lackman'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 Jay Lackman receive the assignment of its 1437366457 from the Centers for Medicare & Medicaid Services?
The Jay Lackman was issued its 1437366457 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the details related to Jay Lackman most recently updated or revised?
The information pertaining to Jay Lackman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.