Lawrence John Child in Gooding - General Practice

Lawrence John Child - NPI 1811099765

Lawrence John Child is a General Practice in Gooding, Idaho. Lawrence John Child practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lawrence John Child is 1811099765. The last update date is 2007-07-08.

Lawrence John Child's current location address is 126 5th Ave W, Gooding, Idaho. You can contact this provider via phone number 2089344610 and fax number 2089340901. The mailing address for Lawrence John Child is 126 5th Ave W, Gooding, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence John Child
Address 126 5th Ave W, Gooding, Idaho
Phone Number 2089344610
Fax Number 2089340901
Sole Proprietor Y
Credentials DDS, PC

NPI Number Detail

NPI Number 1811099765
Provider Enumeration Date 2006-09-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 126 5th Ave W
City Gooding
State Idaho (ID)
Post Code 833301202
Phone Number 2089344610
Fax Number 2089340901

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D1473
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 Lawrence John Child

What is the unique 10-digit identifier code issued to Lawrence John Child by the Centers for Medicare & Medicaid Services?

The Lawrence John Child has been assigned the NPI (National Provider Identifier) 1811099765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Lawrence John Child located?

The Lawrence John Child is located at 126 5Th Ave W, Gooding, ID 833301202.

What is Lawrence John Child'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 Lawrence John Child is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811099765 to Lawrence John Child?

The Centers for Medicare & Medicaid Services assigned the 1811099765 to Lawrence John Child on 2006-09-02.

As of what date were the details related to Lawrence John Child most recently updated or revised?

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

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