Thomas Lagrand Blaisdell in Caldwell - General Practice

Thomas Lagrand Blaisdell - NPI 1437356029

Thomas Lagrand Blaisdell is a General Practice in Caldwell, Idaho. Thomas Lagrand Blaisdell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Lagrand Blaisdell is 1437356029. The last update date is 2007-07-08.

Thomas Lagrand Blaisdell's current location address is 1916 Ellis Ave, Caldwell, Idaho. You can contact this provider via phone number 2084592376 and fax number 2084591524. The mailing address for Thomas Lagrand Blaisdell is 1916 Ellis Ave, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Lagrand Blaisdell
Address 1916 Ellis Ave, Caldwell, Idaho
Phone Number 2084592376
Fax Number 2084591524
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1437356029
Provider Enumeration Date 2007-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1916 Ellis Ave
City Caldwell
State Idaho (ID)
Post Code 836054811
Phone Number 2084592376
Fax Number 2084591524

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D4079
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 Thomas Lagrand Blaisdell

What is the Thomas Lagrand Blaisdell's 1437356029?

The Thomas Lagrand Blaisdell's NPI (National Provider Identifier) Number is 1437356029. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Thomas Lagrand Blaisdell's physical address?

The Thomas Lagrand Blaisdell is physically located at 1916 Ellis Ave, in the city of Caldwell, ID, with the postal code 836054811.

What is Thomas Lagrand Blaisdell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas Lagrand Blaisdell's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When was the Thomas Lagrand Blaisdell's 1437356029 issued?

The Thomas Lagrand Blaisdell's 1437356029 was issued on 2007-06-28.

As of what date were the details related to Thomas Lagrand Blaisdell most recently updated or revised?

The information pertaining to Thomas Lagrand Blaisdell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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