Lee Steven Prohofsky in Rogers - General Practice

Lee Steven Prohofsky - NPI 1194885095

Lee Steven Prohofsky is a General Practice in Rogers, Minnesota. Lee Steven Prohofsky practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lee Steven Prohofsky is 1194885095. The last update date is 2007-07-08.

Lee Steven Prohofsky's current location address is 14000 Northdale Blvd Ste J, Rogers, Minnesota. You can contact this provider via phone number 7634282300 and fax number 7634284031. The mailing address for Lee Steven Prohofsky is 14000 Northdale Blvd Ste J, Rogers, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee Steven Prohofsky
Address 14000 Northdale Blvd Ste J, Rogers, Minnesota
Phone Number 7634282300
Fax Number 7634284031
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1194885095
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14000 Northdale Blvd Ste J
City Rogers
State Minnesota (MN)
Post Code 553744663
Phone Number 7634282300
Fax Number 7634284031

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10843
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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FAQs about Lee Steven Prohofsky

What is the Lee Steven Prohofsky's 1194885095?

The Lee Steven Prohofsky's NPI (National Provider Identifier) Number is 1194885095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lee Steven Prohofsky?

The Lee Steven Prohofsky is physically situated at 14000 Northdale Blvd Ste J, in the city of Rogers, state of MN, with the postal code 553744663.

What is Lee Steven Prohofsky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lee Steven Prohofsky's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Lee Steven Prohofsky receive its 1194885095 assignment from the Centers for Medicare & Medicaid Services?

The Lee Steven Prohofsky was assigned its 1194885095 by the Centers for Medicare & Medicaid Services on 2006-12-11.

As of what date was the information regarding Lee Steven Prohofsky, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lee Steven Prohofsky, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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