Lorenda L. Grace in Irving - Dentist Anesthesiologist

Lorenda L. Grace - NPI 1184830077

Lorenda L. Grace is a Dentist Anesthesiologist in Irving, Texas. Lorenda L. Grace practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Lorenda L. Grace is 1184830077. The last update date is 2013-05-20.

Lorenda L. Grace's current location address is 6565 N Macarthur Blvd, Irving, Texas. You can contact this provider via phone number 2146778542. The mailing address for Lorenda L. Grace is 6565 N Macarthur Blvd, Irving, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lorenda L. Grace
Address 6565 N Macarthur Blvd, Irving, Texas
Phone Number 2146778542
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1184830077
Provider Enumeration Date 2007-05-15
Last Updated Date 2013-05-20

Provider Mailing Address Detail

Address 6565 N Macarthur Blvd
City Irving
State Texas (TX)
Post Code 750392461
Phone Number 2146778542
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist Anesthesiologist
Taxonomy 1223D0004X
Licence No 17194
Definition:
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20-3906587 TX TAX ID

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FAQs about Lorenda L. Grace

What is the unique identification code assigned to Lorenda L. Grace by the Centers for Medicare & Medicaid Services?

The Lorenda L. Grace has been issued the NPI (National Provider Identifier) 1184830077. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lorenda L. Grace's facilities are geographically located?

The facilities of Lorenda L. Grace are physically situated at the following location: 6565 N Macarthur Blvd, Irving, TX, 750392461.

What is the Lorenda L. Grace's specialty and taxonomy code?

The Lorenda L. Grace's specialty is Dentist Anesthesiologist, and the corresponding taxonomy code is 1223D0004X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184830077 to Lorenda L. Grace?

The Centers for Medicare & Medicaid Services originally issued the 1184830077 to Lorenda L. Grace on 2007-05-15.

When was the information regarding Lorenda L. Grace most recently updated?

The details pertaining to the Lorenda L. Grace, including its address, specialty, and other relevant information, were last refreshed on 2013-05-20.

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