Lake Manassa Dental Center in Gainesville - Dentist
Lake Manassa Dental Center - NPI 1356539100
Lake Manassa Dental Center is a Dentist in Gainesville, Virginia. Lake Manassa Dental Center practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lake Manassa Dental Center is 1356539100. The last update date is 2007-10-05.
Lake Manassa Dental Center's current location address is 6911 Stanwick Sq, Gainesville, Virginia. You can contact this provider via phone number 6466418825. The mailing address for Lake Manassa Dental Center is 6911 Stanwick Sq, Gainesville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Manassa Dental Center |
|---|---|
| Address | 6911 Stanwick Sq, Gainesville, Virginia |
| Phone Number | 6466418825 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Nguyen Long |
| Credentials | D.D.S. |
| Telephone Number | 6466418825 |
NPI Number Detail
| NPI Number | 1356539100 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6911 Stanwick Sq |
|---|---|
| City | Gainesville |
| State | Virginia (VA) |
| Post Code | 201554424 |
| Phone Number | 6466418825 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 Lake Manassa Dental Center's 1356539100?
The Lake Manassa Dental Center's NPI (National Provider Identifier) Number is 1356539100. 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 Lake Manassa Dental Center is geographically located?
The Lake Manassa Dental Center is physically situated at the following location: 6911 Stanwick Sq, Gainesville, VA, 201554424.
What is Lake Manassa Dental Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Manassa Dental Center is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1356539100 assigned to Lake Manassa Dental Center?
The Lake Manassa Dental Center was issued its 1356539100 on 2007-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lake Manassa Dental Center most recently updated or revised?
The details related to Lake Manassa Dental Center, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-05.