Charles Clayton Loberg in New London - General Practice

Charles Clayton Loberg - NPI 1245364694

Charles Clayton Loberg is a General Practice in New London, Wisconsin. Charles Clayton Loberg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Clayton Loberg is 1245364694. The last update date is 2007-07-08.

Charles Clayton Loberg's current location address is 201 Wisconsin Street, New London, Wisconsin. You can contact this provider via phone number 9309825181 and fax number 9209821098. The mailing address for Charles Clayton Loberg is 201 Wisconsin Street, New London, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Clayton Loberg
Address 201 Wisconsin Street, New London, Wisconsin
Phone Number 9309825181
Fax Number 9209821098
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1245364694
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 201 Wisconsin Street
City New London
State Wisconsin (WI)
Post Code 54961
Phone Number 9309825181
Fax Number 9209821098

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5000793-015
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 Charles Clayton Loberg

What is the unique identifier code issued to Charles Clayton Loberg by the Centers for Medicare & Medicaid Services?

The Charles Clayton Loberg has been assigned the NPI (National Provider Identifier) 1245364694. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles Clayton Loberg's facilities are geographically located?

The facilities of Charles Clayton Loberg are physically situated at the following location: 201 Wisconsin Street, New London, WI, 54961.

What is the area of specialization for Charles Clayton Loberg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Clayton Loberg is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date was the 1245364694 assigned to Charles Clayton Loberg?

The Charles Clayton Loberg was issued its 1245364694 on 2007-03-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Charles Clayton Loberg most recently updated or refreshed?

The details pertaining to the Charles Clayton Loberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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