Ira Lee Sidwell in Brentwood - General Practice
Ira Lee Sidwell - NPI 1114907201
Ira Lee Sidwell is a General Practice in Brentwood, Tennessee. Ira Lee Sidwell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ira Lee Sidwell is 1114907201. The last update date is 2014-03-04.
Ira Lee Sidwell's current location address is 1195 Old Hickory Blvd, Brentwood, Tennessee. You can contact this provider via phone number 6152695223 and fax number 6152696384. The mailing address for Ira Lee Sidwell is 1195 Old Hickory Blvd, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira Lee Sidwell |
|---|---|
| Address | 1195 Old Hickory Blvd, Brentwood, Tennessee |
| Phone Number | 6152695223 |
| Fax Number | 6152696384 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1114907201 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2014-03-04 |
Provider Mailing Address Detail
| Address | 1195 Old Hickory Blvd |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370274239 |
| Phone Number | 6152695223 |
| Fax Number | 6152696384 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS3767 |
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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 Ira Lee Sidwell's unique identification number?
The Ira Lee Sidwell has been assigned the NPI (National Provider Identifier) Number 1114907201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Ira Lee Sidwell is physically located?
The Ira Lee Sidwell is situated at the following address: 1195 Old Hickory Blvd, Brentwood, TN 370274239.
What is the area of specialization for Ira Lee Sidwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ira Lee Sidwell is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Ira Lee Sidwell receive its 1114907201 assignment from the Centers for Medicare & Medicaid Services?
The Ira Lee Sidwell was assigned its 1114907201 by the Centers for Medicare & Medicaid Services on 2006-01-17.
When was the information regarding Ira Lee Sidwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ira Lee Sidwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-04.
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