Kyle Lisenby is a Dentist in Columbia, Missouri. Kyle Lisenby practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kyle Lisenby is 1629248414. The last update date is 2008-03-07.
Kyle Lisenby's current location address is 303 N Keene St, Columbia, Missouri. You can contact this provider via phone number 5735712222 and fax number 5738172888. The mailing address for Kyle Lisenby is 303 N Keene St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Lisenby |
|---|---|
| Address | 303 N Keene St, Columbia, Missouri |
| Phone Number | 5735712222 |
| Fax Number | 5738172888 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1629248414 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 303 N Keene St |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652016623 |
| Phone Number | 5735712222 |
| Fax Number | 5738172888 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2008006645 |
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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 identification code assigned to Kyle Lisenby by the Centers for Medicare & Medicaid Services?
The Kyle Lisenby has been issued the NPI (National Provider Identifier) 1629248414. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kyle Lisenby?
The Kyle Lisenby is physically situated at 303 N Keene St, in the city of Columbia, state of MO, with the postal code 652016623.
What is Kyle Lisenby's area of expertise and its corresponding taxonomy classification?
The Kyle Lisenby'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 originally issue the 1629248414 to Kyle Lisenby?
The Centers for Medicare & Medicaid Services originally issued the 1629248414 to Kyle Lisenby on 2008-03-07.
When was the information regarding Kyle Lisenby, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle Lisenby, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-07.