Leonard Carl Medura in Shavertown - General Practice
Leonard Carl Medura - NPI 1912906603
Leonard Carl Medura is a General Practice in Shavertown, Pennsylvania. Leonard Carl Medura practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leonard Carl Medura is 1912906603. The last update date is 2017-05-11.
Leonard Carl Medura's current location address is 21 Wellington Rd, Shavertown, Pennsylvania. You can contact this provider via phone number 5706751138 and fax number 5706752152. The mailing address for Leonard Carl Medura is 21 Wellington Rd, Shavertown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Carl Medura |
|---|---|
| Address | 21 Wellington Rd, Shavertown, Pennsylvania |
| Phone Number | 5706751138 |
| Fax Number | 5706752152 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1912906603 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2017-05-11 |
Provider Mailing Address Detail
| Address | 21 Wellington Rd |
|---|---|
| City | Shavertown |
| State | Pennsylvania (PA) |
| Post Code | 187081341 |
| Phone Number | 5706751138 |
| Fax Number | 5706752152 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS017342L |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leonard Carl Medura by the Centers for Medicare & Medicaid Services?
The Leonard Carl Medura has been issued the NPI (National Provider Identifier) 1912906603 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Leonard Carl Medura?
The Leonard Carl Medura is physically situated at 21 Wellington Rd, in the city of Shavertown, state of PA, with the postal code 187081341.
What is Leonard Carl Medura's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Leonard Carl Medura is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Leonard Carl Medura receive its 1912906603 assignment?
The Leonard Carl Medura was assigned its 1912906603 on 2005-07-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Leonard Carl Medura, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leonard Carl Medura, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-11.