Icon Dpmg Llc is a General Practice in Lexington, Massachusetts. Icon Dpmg Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Icon Dpmg Llc is 1134331424. The last update date is 2011-09-12.
Icon Dpmg Llc's current location address is 57 Bedford Street, Lexington, Massachusetts. You can contact this provider via phone number 7818616401 and fax number 7818616258. The mailing address for Icon Dpmg Llc is 57 Bedford Street, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icon Dpmg Llc |
|---|---|
| Address | 57 Bedford Street, Lexington, Massachusetts |
| Phone Number | 7818616401 |
| Fax Number | 7818616258 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DIRE |
|---|---|
| Authorized Official Name | Ahn Hyung-Jung |
| Credentials | D.M.D. |
| Telephone Number | 7818616401 |
NPI Number Detail
| NPI Number | 1134331424 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
| Address | 57 Bedford Street |
|---|---|
| City | Lexington |
| State | Massachusetts (MA) |
| Post Code | 2420 |
| Phone Number | 7818616401 |
| Fax Number | 7818616258 |
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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What is the unique identifier code issued to Icon Dpmg Llc by the Centers for Medicare & Medicaid Services?
The Icon Dpmg Llc has been assigned the NPI (National Provider Identifier) 1134331424. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Icon Dpmg Llc's facilities are situated?
The facilities of Icon Dpmg Llc are physically located at the following address: 57 Bedford Street, Lexington, MA, 2420.
What is the Icon Dpmg Llc's area of specialization and corresponding taxonomy classification?
The Icon Dpmg Llc'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 did the Icon Dpmg Llc receive the assignment of its 1134331424 from the Centers for Medicare & Medicaid Services?
The Icon Dpmg Llc was issued its 1134331424 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the information regarding Icon Dpmg Llc most recently updated?
The details pertaining to the Icon Dpmg Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-09-12.