Gary Douglas Light in Providence - General Practice
Gary Douglas Light - NPI 1578637278
Gary Douglas Light is a General Practice in Providence, Rhode Island. Gary Douglas Light practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Douglas Light is 1578637278. The last update date is 2007-07-08.
Gary Douglas Light's current location address is 189 Waterman St, Providence, Rhode Island. You can contact this provider via phone number 4013510072 and fax number 4013510055. The mailing address for Gary Douglas Light is 189 Waterman St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Douglas Light |
|---|---|
| Address | 189 Waterman St, Providence, Rhode Island |
| Phone Number | 4013510072 |
| Fax Number | 4013510055 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1578637278 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 189 Waterman St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29064014 |
| Phone Number | 4013510072 |
| Fax Number | 4013510055 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN2216 |
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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 identification code assigned to Gary Douglas Light by the Centers for Medicare & Medicaid Services?
The Gary Douglas Light has been issued the NPI (National Provider Identifier) 1578637278. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary Douglas Light is geographically located?
The Gary Douglas Light is physically situated at the following location: 189 Waterman St, Providence, RI, 29064014.
What is Gary Douglas Light's area of expertise and its corresponding taxonomy classification?
The Gary Douglas Light'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 did the Gary Douglas Light receive the assignment of its 1578637278 from the Centers for Medicare & Medicaid Services?
The Gary Douglas Light was issued its 1578637278 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the details pertaining to Gary Douglas Light last refreshed?
The information related to the Gary Douglas Light, including its address, specialty, and other relevant details, was last updated on 2007-07-08.