Lakeline Mall Fdc Pa in Cedar Park - Dentist

Lakeline Mall Fdc Pa - NPI 1275791410

Lakeline Mall Fdc Pa is a Dentist in Cedar Park, Texas. Lakeline Mall Fdc Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lakeline Mall Fdc Pa is 1275791410. The last update date is 2008-05-23.

Lakeline Mall Fdc Pa's current location address is 11200 Lakeline Mall Dr, Cedar Park, Texas. You can contact this provider via phone number 5124484867 and fax number 5123357668. The mailing address for Lakeline Mall Fdc Pa is 11200 Lakeline Mall Dr, Cedar Park, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeline Mall Fdc Pa
Address 11200 Lakeline Mall Dr, Cedar Park, Texas
Phone Number 5124484867
Fax Number 5123357668
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REGIONAL M
Authorized Official Name Armstrong Lynn
Telephone Number 5053284857

NPI Number Detail

NPI Number 1275791410
Provider Enumeration Date 2008-05-23
Last Updated Date 2008-05-23

Provider Mailing Address Detail

Address 11200 Lakeline Mall Dr
City Cedar Park
State Texas (TX)
Post Code 786131502
Phone Number 5124484867
Fax Number 5123357668

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8481
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 Lakeline Mall Fdc Pa

What is the Lakeline Mall Fdc Pa's 1275791410?

The Lakeline Mall Fdc Pa's NPI (National Provider Identifier) Number is 1275791410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lakeline Mall Fdc Pa is geographically located?

The Lakeline Mall Fdc Pa is physically situated at the following location: 11200 Lakeline Mall Dr, Cedar Park, TX, 786131502.

What is Lakeline Mall Fdc Pa's area of expertise and its corresponding taxonomy classification?

The Lakeline Mall Fdc Pa's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1275791410 to Lakeline Mall Fdc Pa?

The Lakeline Mall Fdc Pa received its 1275791410 assignment from the Centers for Medicare & Medicaid Services on 2008-05-23.

When was the information pertaining to Lakeline Mall Fdc Pa most recently updated or revised?

The details related to Lakeline Mall Fdc Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-23.

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