Brent Dee Lundberg in Midvale - General Practice
Brent Dee Lundberg - NPI 1043359177
Brent Dee Lundberg is a General Practice in Midvale, Utah. Brent Dee Lundberg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Dee Lundberg is 1043359177. The last update date is 2007-07-08.
Brent Dee Lundberg's current location address is 684 W Center St, Midvale, Utah. You can contact this provider via phone number 8012554953. The mailing address for Brent Dee Lundberg is 684 W Center St, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Dee Lundberg |
|---|---|
| Address | 684 W Center St, Midvale, Utah |
| Phone Number | 8012554953 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1043359177 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 684 W Center St |
|---|---|
| City | Midvale |
| State | Utah (UT) |
| Post Code | 840477124 |
| Phone Number | 8012554953 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 138206 |
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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 Brent Dee Lundberg by the Centers for Medicare & Medicaid Services?
The Brent Dee Lundberg has been assigned the NPI (National Provider Identifier) 1043359177 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brent Dee Lundberg's physical address?
The Brent Dee Lundberg is physically located at 684 W Center St, in the city of Midvale, UT, with the postal code 840477124.
What is the Brent Dee Lundberg's specialty and taxonomy code?
The Brent Dee Lundberg's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043359177 to Brent Dee Lundberg?
The Centers for Medicare & Medicaid Services originally issued the 1043359177 to Brent Dee Lundberg on 2007-02-05.
When was the information regarding Brent Dee Lundberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brent Dee Lundberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC