Russell Brooks Legg in Clay - General Practice
Russell Brooks Legg - NPI 1285673905
Russell Brooks Legg is a General Practice in Clay, . Russell Brooks Legg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Brooks Legg is 1285673905. The last update date is 2011-12-13.
Russell Brooks Legg'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 Russell Brooks Legg is 63 Carr St, Clay, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell Brooks Legg |
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Address | 63 Carr St, Clay, |
Phone Number | 3045874232 |
Fax Number | 3045872092 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1285673905 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2011-12-13 |
Provider Mailing Address Detail
Address | 63 Carr St |
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City | Clay |
State | (WV) |
Post Code | 250439402 |
Phone Number | 3045874232 |
Fax Number | 3045872092 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | WV-2123 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
135486000 | WV | -- | |
WV2123 | WV | STATE LICENSE | |
728088 | MT. STATE BC/BS INSURANCE | ||
728088 | UNITED CONCORDIA INSURANC | ||
55-0560454 | WV | FEIN NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Russell Brooks Legg by the Centers for Medicare & Medicaid Services?
The Russell Brooks Legg has been assigned the NPI (National Provider Identifier) 1285673905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Russell Brooks Legg is geographically located?
The Russell Brooks Legg is physically situated at the following location: 63 Carr St, Clay, WV, 250439402.
What is Russell Brooks Legg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Brooks Legg is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285673905 to Russell Brooks Legg?
The Russell Brooks Legg received its 1285673905 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date were the details pertaining to Russell Brooks Legg last refreshed?
The information related to the Russell Brooks Legg, including its address, specialty, and other relevant details, was last updated on 2011-12-13.