Lyly Fisher is a Dentist in Renton, Washington. Lyly Fisher practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lyly Fisher is 1134218274. The last update date is 2007-07-08.
Lyly Fisher's current location address is 406 Burnett Ave S, Renton, Washington. You can contact this provider via phone number 4252715705 and fax number 4252710165. The mailing address for Lyly Fisher is 406 Burnett Ave S, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyly Fisher |
|---|---|
| Address | 406 Burnett Ave S, Renton, Washington |
| Phone Number | 4252715705 |
| Fax Number | 4252710165 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134218274 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 406 Burnett Ave S |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 98057 |
| Phone Number | 4252715705 |
| Fax Number | 4252710165 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7067 |
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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 identification code assigned to Lyly Fisher by the Centers for Medicare & Medicaid Services?
The Lyly Fisher has been issued the NPI (National Provider Identifier) 1134218274, 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 Lyly Fisher is geographically located?
The Lyly Fisher is physically situated at the following location: 406 Burnett Ave S, Renton, WA, 98057.
What is Lyly Fisher's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lyly Fisher's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1134218274 assigned to Lyly Fisher?
The Lyly Fisher was issued its 1134218274 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lyly Fisher's details last updated?
The information pertaining to the Lyly Fisher, including its address, specialty, and other details, was most recently updated on 2007-07-08.