Jeffrey Scott Lide in Richardson - General Practice
Jeffrey Scott Lide - NPI 1508914011
Jeffrey Scott Lide is a General Practice in Richardson, Texas. Jeffrey Scott Lide practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Scott Lide is 1508914011. The last update date is 2007-07-08.
Jeffrey Scott Lide's current location address is 330 Municipal Dr, Richardson, Texas. You can contact this provider via phone number 9724790477. The mailing address for Jeffrey Scott Lide is 330 Municipal Dr, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Lide |
|---|---|
| Address | 330 Municipal Dr, Richardson, Texas |
| Phone Number | 9724790477 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508914011 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 330 Municipal Dr |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750803541 |
| Phone Number | 9724790477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | TX18133 |
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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 10-digit identifier code issued to Jeffrey Scott Lide by the Centers for Medicare & Medicaid Services?
The Jeffrey Scott Lide has been assigned the NPI (National Provider Identifier) 1508914011 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey Scott Lide is located?
The Jeffrey Scott Lide is situated at the following address: 330 Municipal Dr, Richardson, TX, 750803541.
What is the area of specialization for Jeffrey Scott Lide, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Scott Lide is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508914011 to Jeffrey Scott Lide?
The Centers for Medicare & Medicaid Services originally issued the 1508914011 to Jeffrey Scott Lide on 2007-01-08.
When was the information regarding Jeffrey Scott Lide most recently updated?
The details pertaining to the Jeffrey Scott Lide, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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