John David Liedtke is a Dentist in Garrison, Texas. John David Liedtke practices all healthcare services and medical treatments related to Dentist. The NPI Number for John David Liedtke is 1811096282. The last update date is 2007-07-08.
John David Liedtke's current location address is Po Box 905, Garrison, Texas. You can contact this provider via phone number 9363472163 and fax number 9363472088. The mailing address for John David Liedtke is Po Box 905, Garrison, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Liedtke |
|---|---|
| Address | Po Box 905, Garrison, Texas |
| Phone Number | 9363472163 |
| Fax Number | 9363472088 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811096282 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 905 |
|---|---|
| City | Garrison |
| State | Texas (TX) |
| Post Code | 759460905 |
| Phone Number | 9363472163 |
| Fax Number | 9363472088 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10424 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John David Liedtke by the Centers for Medicare & Medicaid Services?
The John David Liedtke has been issued the NPI (National Provider Identifier) 1811096282, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John David Liedtke is geographically located?
The John David Liedtke is physically situated at the following location: Po Box 905, Garrison, TX, 759460905.
What is the John David Liedtke's area of specialization and corresponding taxonomy classification?
The John David Liedtke's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1811096282 to John David Liedtke?
The John David Liedtke received its 1811096282 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date was the information pertaining to John David Liedtke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John David Liedtke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.