Larry G Lyles in Glenn Dale - General Practice
Larry G Lyles - NPI 1891784039
Larry G Lyles is a General Practice in Glenn Dale, Maryland. Larry G Lyles practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larry G Lyles is 1891784039. The last update date is 2007-09-10.
Larry G Lyles's current location address is 10506 Forestgate Pl, Glenn Dale, Maryland. You can contact this provider via phone number 3018090919 and fax number 3018059696. The mailing address for Larry G Lyles is 10506 Forestgate Pl, Glenn Dale, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry G Lyles |
|---|---|
| Address | 10506 Forestgate Pl, Glenn Dale, Maryland |
| Phone Number | 3018090919 |
| Fax Number | 3018059696 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891784039 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 10506 Forestgate Pl |
|---|---|
| City | Glenn Dale |
| State | Maryland (MD) |
| Post Code | 207692038 |
| Phone Number | 3018090919 |
| Fax Number | 3018059696 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 298941 | DC | MAMSI | |
| 39066-1 | DC | DENTAL BENEFITS PROVIDER | |
| 104722 | DC | DORAL DENTAL | |
| 8533 | DC | BCBS OF MD | |
| 783970 | DC | UNITED CONCORDIA | |
| 800120 | DC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry G Lyles by the Centers for Medicare & Medicaid Services?
The Larry G Lyles has been assigned the NPI (National Provider Identifier) 1891784039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry G Lyles's physical address?
The Larry G Lyles is physically located at 10506 Forestgate Pl, in the city of Glenn Dale, MD, with the postal code 207692038.
What is Larry G Lyles's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Larry G Lyles is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891784039 to Larry G Lyles?
The Centers for Medicare & Medicaid Services originally issued the 1891784039 to Larry G Lyles on 2005-10-20.
When was the information regarding Larry G Lyles most recently updated?
The details pertaining to the Larry G Lyles, including its address, specialty, and other relevant information, were last refreshed on 2007-09-10.