Charles Gaylord Sandell in Lake Worth - General Practice
Charles Gaylord Sandell - NPI 1558383760
Charles Gaylord Sandell is a General Practice in Lake Worth, Florida. Charles Gaylord Sandell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Gaylord Sandell is 1558383760. The last update date is 2007-07-08.
Charles Gaylord Sandell's current location address is 4949 S Congress Ave, Lake Worth, Florida. You can contact this provider via phone number 5614391023 and fax number 5614392481. The mailing address for Charles Gaylord Sandell is 4949 S Congress Ave, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Gaylord Sandell |
|---|---|
| Address | 4949 S Congress Ave, Lake Worth, Florida |
| Phone Number | 5614391023 |
| Fax Number | 5614392481 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1558383760 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4949 S Congress Ave |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334614731 |
| Phone Number | 5614391023 |
| Fax Number | 5614392481 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN 8982 |
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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 identification code assigned to Charles Gaylord Sandell by the Centers for Medicare & Medicaid Services?
The Charles Gaylord Sandell has been issued the NPI (National Provider Identifier) 1558383760. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charles Gaylord Sandell is geographically located?
The Charles Gaylord Sandell is physically situated at the following location: 4949 S Congress Ave, Lake Worth, FL, 334614731.
What is the Charles Gaylord Sandell's specialty and taxonomy code?
The Charles Gaylord Sandell's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Charles Gaylord Sandell receive its 1558383760 assignment?
The Charles Gaylord Sandell was assigned its 1558383760 on 2006-07-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Charles Gaylord Sandell last refreshed?
The information related to the Charles Gaylord Sandell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.