Marty Legum is a General Practice in Alexandria, Virginia. Marty Legum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marty Legum is 1629148572. The last update date is 2007-07-08.
Marty Legum's current location address is 1500 Belleview Blvd., Alexandria, Virginia. You can contact this provider via phone number 7067684777 and fax number 7067683018. The mailing address for Marty Legum is 1500 Belleview Blvd., Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marty Legum |
|---|---|
| Address | 1500 Belleview Blvd., Alexandria, Virginia |
| Phone Number | 7067684777 |
| Fax Number | 7067683018 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629148572 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 Belleview Blvd. |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 22307 |
| Phone Number | 7067684777 |
| Fax Number | 7067683018 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7332 |
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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 identification code issued to Marty Legum by the Centers for Medicare & Medicaid Services?
The Marty Legum has been assigned the NPI (National Provider Identifier) 1629148572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Marty Legum is physically located?
The Marty Legum is situated at the following address: 1500 Belleview Blvd., Alexandria, VA 22307.
What is the Marty Legum's area of specialization and corresponding taxonomy classification?
The Marty Legum's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Marty Legum receive its 1629148572 assignment from the Centers for Medicare & Medicaid Services?
The Marty Legum was assigned its 1629148572 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marty Legum most recently updated or revised?
The information pertaining to Marty Legum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.