Richard Peter Gangwisch in Lilburn - General Practice
Richard Peter Gangwisch - NPI 1255355145
Richard Peter Gangwisch is a General Practice in Lilburn, Georgia. Richard Peter Gangwisch practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Peter Gangwisch is 1255355145. The last update date is 2007-07-08.
Richard Peter Gangwisch's current location address is 912 Killian Hill Rd Sw, Lilburn, Georgia. You can contact this provider via phone number 7709233966 and fax number 7705648617. The mailing address for Richard Peter Gangwisch is 912 Killian Hill Rd Sw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Peter Gangwisch |
|---|---|
| Address | 912 Killian Hill Rd Sw, Lilburn, Georgia |
| Phone Number | 7709233966 |
| Fax Number | 7705648617 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1255355145 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 912 Killian Hill Rd Sw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300473138 |
| Phone Number | 7709233966 |
| Fax Number | 7705648617 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN008859 |
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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 10-digit identifier code issued to Richard Peter Gangwisch by the Centers for Medicare & Medicaid Services?
The Richard Peter Gangwisch has been assigned the NPI (National Provider Identifier) 1255355145 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Richard Peter Gangwisch's physical address?
The Richard Peter Gangwisch is physically located at 912 Killian Hill Rd Sw, in the city of Lilburn, GA, with the postal code 300473138.
What is Richard Peter Gangwisch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard Peter Gangwisch is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Richard Peter Gangwisch receive the assignment of its 1255355145 from the Centers for Medicare & Medicaid Services?
The Richard Peter Gangwisch was issued its 1255355145 by the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information related to Richard Peter Gangwisch most recently updated or refreshed?
The details pertaining to the Richard Peter Gangwisch, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.