K. Jared Lusk Dds P.C. in Farmington - General Practice
K. Jared Lusk Dds P.C. - NPI 1942420674
K. Jared Lusk Dds P.C. is a General Practice in Farmington, New Mexico. K. Jared Lusk Dds P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for K. Jared Lusk Dds P.C. is 1942420674. The last update date is 2020-08-22.
K. Jared Lusk Dds P.C.'s current location address is 204 N Auburn Ave, Farmington, New Mexico. You can contact this provider via phone number 5053258401 and fax number 5053258705. The mailing address for K. Jared Lusk Dds P.C. is 204 N Auburn Ave, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | K. Jared Lusk Dds P.C. |
|---|---|
| Address | 204 N Auburn Ave, Farmington, New Mexico |
| Phone Number | 5053258401 |
| Fax Number | 5053258705 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lusk Jared K. |
| Telephone Number | 5053258401 |
NPI Number Detail
| NPI Number | 1942420674 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 204 N Auburn Ave |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874018412 |
| Phone Number | 5053258401 |
| Fax Number | 5053258705 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891069 | NM | UNITED CONCORDIA | |
| NM008392 | NM | BLUECROSS BLUESHIELD |
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What is the unique identification code assigned to K. Jared Lusk Dds P.C. by the Centers for Medicare & Medicaid Services?
The K. Jared Lusk Dds P.C. has been issued the NPI (National Provider Identifier) 1942420674. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of K. Jared Lusk Dds P.C.?
The K. Jared Lusk Dds P.C. is situated at 204 N Auburn Ave, in the city of Farmington, state of NM, with the zip code 874018412.
What is K. Jared Lusk Dds P.C.'s area of expertise and its corresponding taxonomy classification?
The K. Jared Lusk Dds P.C.'s field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1942420674 assigned to K. Jared Lusk Dds P.C.?
The K. Jared Lusk Dds P.C. was issued its 1942420674 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to K. Jared Lusk Dds P.C. most recently updated or revised?
The details related to K. Jared Lusk Dds P.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.