Larry Scott Lewis in Modesto - General Practice
Larry Scott Lewis - NPI 1215146105
Larry Scott Lewis is a General Practice in Modesto, California. Larry Scott Lewis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larry Scott Lewis is 1215146105. The last update date is 2007-07-08.
Larry Scott Lewis's current location address is 3609 Coffee Rd Ste 3, Modesto, California. You can contact this provider via phone number 2095261190 and fax number 2095263245. The mailing address for Larry Scott Lewis is 3609 Coffee Rd Ste 3, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Scott Lewis |
|---|---|
| Address | 3609 Coffee Rd Ste 3, Modesto, California |
| Phone Number | 2095261190 |
| Fax Number | 2095263245 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215146105 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3609 Coffee Rd Ste 3 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953551100 |
| Phone Number | 2095261190 |
| Fax Number | 2095263245 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 24037 |
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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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What is the unique 10-digit identification code issued to Larry Scott Lewis by the Centers for Medicare & Medicaid Services?
The Larry Scott Lewis has been assigned the NPI (National Provider Identifier) 1215146105 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 location address where Larry Scott Lewis's facilities are situated?
The facilities of Larry Scott Lewis are physically located at the following address: 3609 Coffee Rd Ste 3, Modesto, CA, 953551100.
What is Larry Scott Lewis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Scott Lewis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did Larry Scott Lewis receive its 1215146105 assignment from the Centers for Medicare & Medicaid Services?
The Larry Scott Lewis was assigned its 1215146105 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Larry Scott Lewis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Scott Lewis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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