Carol Lynn Moreno in West Liberty - General Practice

Carol Lynn Moreno - NPI 1174635221

Carol Lynn Moreno is a General Practice in West Liberty, Iowa. Carol Lynn Moreno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carol Lynn Moreno is 1174635221. The last update date is 2012-09-11.

Carol Lynn Moreno's current location address is 1205 N Columbus St, West Liberty, Iowa. You can contact this provider via phone number 3196272612 and fax number 3196272178. The mailing address for Carol Lynn Moreno is 1205 N Columbus St, West Liberty, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Lynn Moreno
Address 1205 N Columbus St, West Liberty, Iowa
Phone Number 3196272612
Fax Number 3196272178
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1174635221
Provider Enumeration Date 2006-08-31
Last Updated Date 2012-09-11

Provider Mailing Address Detail

Address 1205 N Columbus St
City West Liberty
State Iowa (IA)
Post Code 527769601
Phone Number 3196272612
Fax Number 3196272178

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6899
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
1216853 IA --

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FAQs about Carol Lynn Moreno

What is the unique 10-digit identifier code assigned to Carol Lynn Moreno by the Centers for Medicare & Medicaid Services?

The Carol Lynn Moreno has been issued the NPI (National Provider Identifier) 1174635221 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Carol Lynn Moreno is physically located?

The Carol Lynn Moreno is physically situated at the following address: 1205 N Columbus St, West Liberty, IA, 527769601.

What is the Carol Lynn Moreno's area of specialization and corresponding taxonomy classification?

The Carol Lynn Moreno's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did the Carol Lynn Moreno receive its 1174635221?

The Carol Lynn Moreno was issued its 1174635221 on 2006-08-31, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Carol Lynn Moreno most recently updated or revised?

The details related to Carol Lynn Moreno, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-11.

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