Brian David Lackey in Pacific Grove - General Practice

Brian David Lackey - NPI 1649326703

Brian David Lackey is a General Practice in Pacific Grove, California. Brian David Lackey practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian David Lackey is 1649326703. The last update date is 2007-07-08.

Brian David Lackey's current location address is 675 Pine Ave, Pacific Grove, California. You can contact this provider via phone number 8316491055. The mailing address for Brian David Lackey is 675 Pine Ave, Pacific Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian David Lackey
Address 675 Pine Ave, Pacific Grove, California
Phone Number 8316491055
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1649326703
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

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 40457
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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FAQs about Brian David Lackey

What is the unique identifier code issued to Brian David Lackey by the Centers for Medicare & Medicaid Services (CMS)?

The Brian David Lackey has been assigned the NPI (National Provider Identifier) 1649326703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Brian David Lackey's facilities are geographically located?

The facilities of Brian David Lackey are physically situated at the following location: 675 Pine Ave, Pacific Grove, CA, 939503373.

What is Brian David Lackey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brian David Lackey'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 Brian David Lackey receive its 1649326703 assignment from the Centers for Medicare & Medicaid Services?

The Brian David Lackey was assigned its 1649326703 on 2007-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Brian David Lackey most recently updated or revised?

The details related to Brian David Lackey, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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