David Lee Ezernack in Monroe - General Practice
David Lee Ezernack - NPI 1720244668
David Lee Ezernack is a General Practice in Monroe, Louisiana. David Lee Ezernack practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Lee Ezernack is 1720244668. The last update date is 2008-07-30.
David Lee Ezernack's current location address is 2109 Redwood Dr, Monroe, Louisiana. You can contact this provider via phone number 3183257648. The mailing address for David Lee Ezernack is 2109 Redwood Dr, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Ezernack |
|---|---|
| Address | 2109 Redwood Dr, Monroe, Louisiana |
| Phone Number | 3183257648 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1720244668 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 2109 Redwood Dr |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712013629 |
| Phone Number | 3183257648 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2708 |
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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 David Lee Ezernack's unique identification number?
The David Lee Ezernack has been assigned the NPI (National Provider Identifier) Number 1720244668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the David Lee Ezernack's physical address?
The David Lee Ezernack is physically located at 2109 Redwood Dr, in the city of Monroe, LA, with the postal code 712013629.
What is David Lee Ezernack's area of expertise and its corresponding taxonomy classification?
The David Lee Ezernack's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1720244668 assigned to David Lee Ezernack?
The David Lee Ezernack was issued its 1720244668 on 2008-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David Lee Ezernack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Lee Ezernack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-30.