Lamont Lewis Gillham in Bellevue - General Practice

Lamont Lewis Gillham - NPI 1063589703

Lamont Lewis Gillham is a General Practice in Bellevue, Nebraska. Lamont Lewis Gillham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lamont Lewis Gillham is 1063589703. The last update date is 2007-07-08.

Lamont Lewis Gillham's current location address is 1411 J F Kennedy Drive, Bellevue, Nebraska. You can contact this provider via phone number 4022913535 and fax number 4022910760. The mailing address for Lamont Lewis Gillham is 1411 J F Kennedy Drive, Bellevue, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Lamont Lewis Gillham
Address 1411 J F Kennedy Drive, Bellevue, Nebraska
Phone Number 4022913535
Fax Number 4022910760
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063589703
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1411 J F Kennedy Drive
City Bellevue
State Nebraska (NE)
Post Code 680053693
Phone Number 4022913535
Fax Number 4022910760

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6469
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 Lamont Lewis Gillham

What is the unique 10-digit identifier code assigned to Lamont Lewis Gillham by the Centers for Medicare & Medicaid Services?

The Lamont Lewis Gillham has been issued the NPI (National Provider Identifier) 1063589703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Lamont Lewis Gillham located?

The Lamont Lewis Gillham is located at 1411 J F Kennedy Drive, Bellevue, NE 680053693.

What is Lamont Lewis Gillham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lamont Lewis Gillham is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063589703 to Lamont Lewis Gillham?

The Centers for Medicare & Medicaid Services originally issued the 1063589703 to Lamont Lewis Gillham on 2006-11-29.

As of what date was the information pertaining to Lamont Lewis Gillham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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