Lyle Thomas Roudabush in Grinnell - General Practice
Lyle Thomas Roudabush - NPI 1861520652
Lyle Thomas Roudabush is a General Practice in Grinnell, Iowa. Lyle Thomas Roudabush practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lyle Thomas Roudabush is 1861520652. The last update date is 2007-07-08.
Lyle Thomas Roudabush's current location address is 125 16th Ave., Grinnell, Iowa. You can contact this provider via phone number 6412368139 and fax number 6412366041. The mailing address for Lyle Thomas Roudabush is 125 16th Ave., Grinnell, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyle Thomas Roudabush |
|---|---|
| Address | 125 16th Ave., Grinnell, Iowa |
| Phone Number | 6412368139 |
| Fax Number | 6412366041 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1861520652 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 16th Ave. |
|---|---|
| City | Grinnell |
| State | Iowa (IA) |
| Post Code | 50112 |
| Phone Number | 6412368139 |
| Fax Number | 6412366041 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5719 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Lyle Thomas Roudabush by the Centers for Medicare & Medicaid Services?
The Lyle Thomas Roudabush has been issued the NPI (National Provider Identifier) 1861520652. 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 Lyle Thomas Roudabush is geographically located?
The Lyle Thomas Roudabush is physically situated at the following location: 125 16Th Ave., Grinnell, IA, 50112.
What is the Lyle Thomas Roudabush's area of specialization and corresponding taxonomy classification?
The Lyle Thomas Roudabush's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1861520652 assigned to Lyle Thomas Roudabush?
The Lyle Thomas Roudabush was issued its 1861520652 on 2007-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Lyle Thomas Roudabush, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lyle Thomas Roudabush, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN