Ivy Lane Dentistry in San Antonio - General Practice

Ivy Lane Dentistry - NPI 1467539577

Ivy Lane Dentistry is a General Practice in San Antonio, Texas. Ivy Lane Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivy Lane Dentistry is 1467539577. The last update date is 2010-04-07.

Ivy Lane Dentistry's current location address is 1073 Ivy Ln, San Antonio, Texas. You can contact this provider via phone number 2108249566 and fax number 2108249975. The mailing address for Ivy Lane Dentistry is 1073 Ivy Ln, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ivy Lane Dentistry
Address 1073 Ivy Ln, San Antonio, Texas
Phone Number 2108249566
Fax Number 2108249975
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Westerberg Louis Matthew
Credentials DDS
Telephone Number 2108249566

NPI Number Detail

NPI Number 1467539577
Provider Enumeration Date 2006-11-01
Last Updated Date 2010-04-07

Provider Mailing Address Detail

Address 1073 Ivy Ln
City San Antonio
State Texas (TX)
Post Code 782096061
Phone Number 2108249566
Fax Number 2108249975

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19612
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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FAQs about Ivy Lane Dentistry

What is the unique provider identifier assigned to Ivy Lane Dentistry?

The Ivy Lane Dentistry has been issued the NPI (National Provider Identifier) 1467539577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Ivy Lane Dentistry is located?

The Ivy Lane Dentistry is situated at the following address: 1073 Ivy Ln, San Antonio, TX, 782096061.

What is the area of specialization for Ivy Lane Dentistry, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ivy Lane Dentistry is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Ivy Lane Dentistry receive its 1467539577?

The Ivy Lane Dentistry was issued its 1467539577 on 2006-11-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Ivy Lane Dentistry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ivy Lane Dentistry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-04-07.

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