John L Harrison in Lakeville - General Practice
John L Harrison - NPI 1629142070
John L Harrison is a General Practice in Lakeville, Minnesota. John L Harrison practices all healthcare services and medical treatments related to General Practice. The NPI Number for John L Harrison is 1629142070. The last update date is 2007-07-08.
John L Harrison's current location address is 20171 Icenic Trl, Lakeville, Minnesota. You can contact this provider via phone number 9524693300. The mailing address for John L Harrison is 20171 Icenic Trl, Lakeville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Harrison |
|---|---|
| Address | 20171 Icenic Trl, Lakeville, Minnesota |
| Phone Number | 9524693300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629142070 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20171 Icenic Trl |
|---|---|
| City | Lakeville |
| State | Minnesota (MN) |
| Post Code | 550447708 |
| Phone Number | 9524693300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7809 |
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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 provider identifier assigned to John L Harrison?
The John L Harrison has been issued the NPI (National Provider Identifier) 1629142070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John L Harrison's facilities are geographically located?
The facilities of John L Harrison are physically situated at the following location: 20171 Icenic Trl, Lakeville, MN, 550447708.
What is the John L Harrison's specialty and taxonomy code?
The John L Harrison's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629142070 to John L Harrison?
The Centers for Medicare & Medicaid Services originally issued the 1629142070 to John L Harrison on 2006-11-20.
As of what date were the details pertaining to John L Harrison last refreshed?
The information related to the John L Harrison, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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