Phillip Len Dotson in Lawrenceburg - Dentist

Phillip Len Dotson - NPI 1154311421

Phillip Len Dotson is a Dentist in Lawrenceburg, Tennessee. Phillip Len Dotson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Len Dotson is 1154311421. The last update date is 2007-07-08.

Phillip Len Dotson's current location address is 1290 1st Ave, Lawrenceburg, Tennessee. You can contact this provider via phone number 9317623409 and fax number 9317623488. The mailing address for Phillip Len Dotson is 1290 1st Ave, Lawrenceburg, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Len Dotson
Address 1290 1st Ave, Lawrenceburg, Tennessee
Phone Number 9317623409
Fax Number 9317623488
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1154311421
Provider Enumeration Date 2005-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1290 1st Ave
City Lawrenceburg
State Tennessee (TN)
Post Code 384642762
Phone Number 9317623409
Fax Number 9317623488

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS0000003961
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
14505 TN TN CARE PROVIDER FACILITY
44087 BLUECROSSBLUESHIELD

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FAQs about Phillip Len Dotson

What is the unique provider identifier assigned to Phillip Len Dotson?

The Phillip Len Dotson has been issued the NPI (National Provider Identifier) 1154311421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Phillip Len Dotson's facilities are geographically located?

The facilities of Phillip Len Dotson are physically situated at the following location: 1290 1St Ave, Lawrenceburg, TN, 384642762.

What is Phillip Len Dotson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Phillip Len Dotson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did Phillip Len Dotson receive its 1154311421 assignment from the Centers for Medicare & Medicaid Services?

The Phillip Len Dotson was assigned its 1154311421 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

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

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