Luckana Theresa Asandra in Liberty - General Practice

Luckana Theresa Asandra - NPI 1578508156

Luckana Theresa Asandra is a General Practice in Liberty, Missouri. Luckana Theresa Asandra practices all healthcare services and medical treatments related to General Practice. The NPI Number for Luckana Theresa Asandra is 1578508156. The last update date is 2007-07-08.

Luckana Theresa Asandra's current location address is 12a Westwoods Dr, Liberty, Missouri. You can contact this provider via phone number 8167810993 and fax number 8167810998. The mailing address for Luckana Theresa Asandra is 12a Westwoods Dr, Liberty, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Luckana Theresa Asandra
Address 12a Westwoods Dr, Liberty, Missouri
Phone Number 8167810993
Fax Number 8167810998
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1578508156
Provider Enumeration Date 2006-06-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12a Westwoods Dr
City Liberty
State Missouri (MO)
Post Code 640683519
Phone Number 8167810993
Fax Number 8167810998

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12884
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 Luckana Theresa Asandra

What is the unique 10-digit identifier code issued to Luckana Theresa Asandra by the Centers for Medicare & Medicaid Services?

The Luckana Theresa Asandra has been assigned the NPI (National Provider Identifier) 1578508156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Luckana Theresa Asandra's facilities are geographically located?

The facilities of Luckana Theresa Asandra are physically situated at the following location: 12A Westwoods Dr, Liberty, MO, 640683519.

What is Luckana Theresa Asandra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Luckana Theresa Asandra is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did Luckana Theresa Asandra receive its 1578508156 assignment?

The Luckana Theresa Asandra was assigned its 1578508156 on 2006-06-18, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Luckana Theresa Asandra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Luckana Theresa Asandra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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