Rudolph R Leidl Dmd Facd Pa in Long Valley - General Practice
Rudolph R Leidl Dmd Facd Pa - NPI 1194895466
Rudolph R Leidl Dmd Facd Pa is a General Practice in Long Valley, New Jersey. Rudolph R Leidl Dmd Facd Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rudolph R Leidl Dmd Facd Pa is 1194895466. The last update date is 2020-08-22.
Rudolph R Leidl Dmd Facd Pa's current location address is 2 Mountain View Ave, Long Valley, New Jersey. You can contact this provider via phone number 9088763458 and fax number 9088769121. The mailing address for Rudolph R Leidl Dmd Facd Pa is 2 Mountain View Ave, Long Valley, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rudolph R Leidl Dmd Facd Pa |
|---|---|
| Address | 2 Mountain View Ave, Long Valley, New Jersey |
| Phone Number | 9088763458 |
| Fax Number | 9088769121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Leidl R Rudolph |
| Credentials | DMD |
| Telephone Number | 9088763458 |
NPI Number Detail
| NPI Number | 1194895466 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2 Mountain View Ave |
|---|---|
| City | Long Valley |
| State | New Jersey (NJ) |
| Post Code | 7853 |
| Phone Number | 9088763458 |
| Fax Number | 9088769121 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22DI01106300 |
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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 Rudolph R Leidl Dmd Facd Pa?
The Rudolph R Leidl Dmd Facd Pa has been issued the NPI (National Provider Identifier) 1194895466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Rudolph R Leidl Dmd Facd Pa is geographically located?
The Rudolph R Leidl Dmd Facd Pa is physically situated at the following location: 2 Mountain View Ave, Long Valley, NJ, 7853.
What is Rudolph R Leidl Dmd Facd Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rudolph R Leidl Dmd Facd Pa's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Rudolph R Leidl Dmd Facd Pa receive its 1194895466 assignment?
The Rudolph R Leidl Dmd Facd Pa was assigned its 1194895466 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Rudolph R Leidl Dmd Facd Pa most recently updated or revised?
The information pertaining to Rudolph R Leidl Dmd Facd Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.