Tahisa Patric Colbert in Lafayette - Dentist
Tahisa Patric Colbert - NPI 1245304187
Tahisa Patric Colbert is a Dentist in Lafayette, Louisiana. Tahisa Patric Colbert practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tahisa Patric Colbert is 1245304187. The last update date is 2007-07-09.
Tahisa Patric Colbert's current location address is 1006 Surrey St, Lafayette, Louisiana. You can contact this provider via phone number 3372340411. The mailing address for Tahisa Patric Colbert is 1006 Surrey St, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tahisa Patric Colbert |
|---|---|
| Address | 1006 Surrey St, Lafayette, Louisiana |
| Phone Number | 3372340411 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1245304187 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1006 Surrey St |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705016143 |
| Phone Number | 3372340411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5321 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1853216 | LA | -- |
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What is the unique identifier code issued to Tahisa Patric Colbert by the Centers for Medicare & Medicaid Services?
The Tahisa Patric Colbert has been assigned the NPI (National Provider Identifier) 1245304187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tahisa Patric Colbert?
The Tahisa Patric Colbert is situated at 1006 Surrey St, in the city of Lafayette, state of LA, with the zip code 705016143.
What is Tahisa Patric Colbert's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tahisa Patric Colbert is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245304187 to Tahisa Patric Colbert?
The Tahisa Patric Colbert received its 1245304187 assignment from the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the Tahisa Patric Colbert's information last updated?
The Tahisa Patric Colbert's information was last updated on 2007-07-09.