Gerald B. Leiber is a Endodontics in Medford, Massachusetts. Gerald B. Leiber practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Gerald B. Leiber is 1932197019. The last update date is 2007-07-08.
Gerald B. Leiber's current location address is 0 Governors Ave, Medford, Massachusetts. You can contact this provider via phone number 7813915100 and fax number 7813914833. The mailing address for Gerald B. Leiber is 0 Governors Ave, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gerald B. Leiber |
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Address | 0 Governors Ave, Medford, Massachusetts |
Phone Number | 7813915100 |
Fax Number | 7813914833 |
Sole Proprietor | X |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1932197019 |
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Provider Enumeration Date | 2005-10-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 0 Governors Ave |
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City | Medford |
State | Massachusetts (MA) |
Post Code | 21553025 |
Phone Number | 7813915100 |
Fax Number | 7813914833 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Licence No | 12008 |
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
661277 | MA | UNITED CONCORDIA | |
119049 | MA | CIGNA | |
XX04930 | MA | BLUECROSS BLUE SHIELD |
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What is the unique 10-digit identification code assigned to Gerald B. Leiber by the Centers for Medicare & Medicaid Services?
The Gerald B. Leiber has been issued the NPI (National Provider Identifier) 1932197019, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gerald B. Leiber located?
The Gerald B. Leiber is located at 0 Governors Ave, Medford, MA 21553025.
What is Gerald B. Leiber's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gerald B. Leiber is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932197019 to Gerald B. Leiber?
The Centers for Medicare & Medicaid Services assigned the 1932197019 to Gerald B. Leiber on 2005-10-12.
As of what date were the details related to Gerald B. Leiber most recently updated or revised?
The information pertaining to Gerald B. Leiber, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH