Arlen Dale Lackey in Pacific Grove - General Practice
Arlen Dale Lackey - NPI 1063568111
Arlen Dale Lackey is a General Practice in Pacific Grove, California. Arlen Dale Lackey practices all healthcare services and medical treatments related to General Practice. The NPI Number for Arlen Dale Lackey is 1063568111. The last update date is 2007-07-08.
Arlen Dale Lackey's current location address is 675 Pine Ave, Pacific Grove, California. You can contact this provider via phone number 8316491055 and fax number 8316490567. The mailing address for Arlen Dale Lackey is 675 Pine Ave, Pacific Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Arlen Dale Lackey |
|---|---|
| Address | 675 Pine Ave, Pacific Grove, California |
| Phone Number | 8316491055 |
| Fax Number | 8316490567 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063568111 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 675 Pine Ave |
|---|---|
| City | Pacific Grove |
| State | California (CA) |
| Post Code | 939503373 |
| Phone Number | 8316491055 |
| Fax Number | 8316490567 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17306 |
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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 provider identifier assigned to Arlen Dale Lackey?
The Arlen Dale Lackey has been issued the NPI (National Provider Identifier) 1063568111 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 address where Arlen Dale Lackey is geographically located?
The Arlen Dale Lackey is physically situated at the following location: 675 Pine Ave, Pacific Grove, CA, 939503373.
What is the area of specialization for Arlen Dale Lackey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Arlen Dale Lackey is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Arlen Dale Lackey receive the assignment of its 1063568111 from the Centers for Medicare & Medicaid Services?
The Arlen Dale Lackey was issued its 1063568111 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information pertaining to Arlen Dale Lackey most recently updated or revised?
The details related to Arlen Dale Lackey, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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