Laurie Lynn Southard in Tulsa - Endodontics

Laurie Lynn Southard - NPI 1215054820

Laurie Lynn Southard is a Endodontics in Tulsa, Oklahoma. Laurie Lynn Southard practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Laurie Lynn Southard is 1215054820. The last update date is 2016-03-08.

Laurie Lynn Southard's current location address is 5010 E 68th St, Tulsa, Oklahoma. You can contact this provider via phone number 9184933880 and fax number 9184928564. The mailing address for Laurie Lynn Southard is 5010 E 68th St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie Lynn Southard
Address 5010 E 68th St, Tulsa, Oklahoma
Phone Number 9184933880
Fax Number 9184928564
Sole Proprietor Y
Credentials BS, MS, DD

NPI Number Detail

NPI Number 1215054820
Provider Enumeration Date 2007-03-26
Last Updated Date 2016-03-08

Provider Mailing Address Detail

Address 5010 E 68th St
City Tulsa
State Oklahoma (OK)
Post Code 741363323
Phone Number 9184933880
Fax Number 9184928564

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 5119
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

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FAQs about Laurie Lynn Southard

What is the unique provider identifier assigned to Laurie Lynn Southard?

The Laurie Lynn Southard has been issued the NPI (National Provider Identifier) 1215054820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Laurie Lynn Southard's facilities are situated?

The facilities of Laurie Lynn Southard are physically located at the following address: 5010 E 68Th St, Tulsa, OK, 741363323.

What is Laurie Lynn Southard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Laurie Lynn Southard's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215054820 to Laurie Lynn Southard?

The Laurie Lynn Southard received its 1215054820 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.

As of what date were the details pertaining to Laurie Lynn Southard last refreshed?

The information related to the Laurie Lynn Southard, including its address, specialty, and other relevant details, was last updated on 2016-03-08.

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