Richard Clark Lane in Petaluma - General Practice
Richard Clark Lane - NPI 1740311406
Richard Clark Lane is a General Practice in Petaluma, California. Richard Clark Lane practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Clark Lane is 1740311406. The last update date is 2007-07-08.
Richard Clark Lane's current location address is 131 Lynch Creek Way, Petaluma, California. You can contact this provider via phone number 7077626645 and fax number 7077622447. The mailing address for Richard Clark Lane is 131 Lynch Creek Way, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Clark Lane |
|---|---|
| Address | 131 Lynch Creek Way, Petaluma, California |
| Phone Number | 7077626645 |
| Fax Number | 7077622447 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740311406 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 131 Lynch Creek Way |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949542300 |
| Phone Number | 7077626645 |
| Fax Number | 7077622447 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 31488 |
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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 Richard Clark Lane's 1740311406?
The Richard Clark Lane's NPI (National Provider Identifier) Number is 1740311406. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Clark Lane?
The Richard Clark Lane is physically situated at 131 Lynch Creek Way, in the city of Petaluma, state of CA, with the postal code 949542300.
What is Richard Clark Lane's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Clark Lane'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 the Centers for Medicare & Medicaid Services assign the 1740311406 to Richard Clark Lane?
The Centers for Medicare & Medicaid Services assigned the 1740311406 to Richard Clark Lane on 2007-03-07.
As of what date were the Richard Clark Lane's details last updated?
The information pertaining to the Richard Clark Lane, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1023014131
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