R. Brooks Legg Jr. in Clay - General Practice
R. Brooks Legg Jr. - NPI 1912088410
R. Brooks Legg Jr. is a General Practice in Clay, . R. Brooks Legg Jr. practices all healthcare services and medical treatments related to General Practice. The NPI Number for R. Brooks Legg Jr. is 1912088410. The last update date is 2008-06-18.
R. Brooks Legg Jr.'s current location address is 63 Carr St, Clay, . You can contact this provider via phone number 3045874232 and fax number 3045872092. The mailing address for R. Brooks Legg Jr. is 63 Carr St, Clay, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | R. Brooks Legg Jr. |
|---|---|
| Address | 63 Carr St, Clay, |
| Phone Number | 3045874232 |
| Fax Number | 3045872092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Legg Brooks Russell |
| Credentials | D.D.S. |
| Telephone Number | 3045874232 |
NPI Number Detail
| NPI Number | 1912088410 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 63 Carr St |
|---|---|
| City | Clay |
| State | (WV) |
| Post Code | 250439402 |
| Phone Number | 3045874232 |
| Fax Number | 3045872092 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | WV2123 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810005754 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to R. Brooks Legg Jr. by the Centers for Medicare & Medicaid Services?
The R. Brooks Legg Jr. has been issued the NPI (National Provider Identifier) 1912088410, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of R. Brooks Legg Jr.?
The R. Brooks Legg Jr. is situated at 63 Carr St, in the city of Clay, state of WV, with the zip code 250439402.
What is R. Brooks Legg Jr.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The R. Brooks Legg Jr.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did R. Brooks Legg Jr. receive its 1912088410 assignment from the Centers for Medicare & Medicaid Services?
The R. Brooks Legg Jr. was assigned its 1912088410 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to R. Brooks Legg Jr. most recently updated or refreshed?
The details pertaining to the R. Brooks Legg Jr., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY