Lavendra V Shootes in Albany - General Practice

Lavendra V Shootes - NPI 1700092418

Lavendra V Shootes is a General Practice in Albany, Georgia. Lavendra V Shootes practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lavendra V Shootes is 1700092418. The last update date is 2007-10-10.

Lavendra V Shootes's current location address is 2722 Dawson Rd, Albany, Georgia. You can contact this provider via phone number 2298882488 and fax number 2298882440. The mailing address for Lavendra V Shootes is 2722 Dawson Rd, Albany, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lavendra V Shootes
Address 2722 Dawson Rd, Albany, Georgia
Phone Number 2298882488
Fax Number 2298882440
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1700092418
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-10-10

Provider Mailing Address Detail

Address 2722 Dawson Rd
City Albany
State Georgia (GA)
Post Code 317071690
Phone Number 2298882488
Fax Number 2298882440

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN012513
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000959329B GA --

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FAQs about Lavendra V Shootes

What is the unique identifier code issued to Lavendra V Shootes by the Centers for Medicare & Medicaid Services (CMS)?

The Lavendra V Shootes has been assigned the NPI (National Provider Identifier) 1700092418. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Lavendra V Shootes's facilities are situated?

The facilities of Lavendra V Shootes are physically located at the following address: 2722 Dawson Rd, Albany, GA, 317071690.

What is the Lavendra V Shootes's specialty and taxonomy code?

The Lavendra V Shootes's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Lavendra V Shootes receive its 1700092418 assignment from the Centers for Medicare & Medicaid Services?

The Lavendra V Shootes was assigned its 1700092418 by the Centers for Medicare & Medicaid Services on 2007-05-16.

When was the Lavendra V Shootes's information last updated?

The Lavendra V Shootes's information was last updated on 2007-10-10.

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