Lawrence I Goldblatt in Indianapolis - Oral And Maxillofacial Pathology

Lawrence I Goldblatt - NPI 1255308011

Lawrence I Goldblatt is a Oral And Maxillofacial Pathology in Indianapolis, Indiana. Lawrence I Goldblatt practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Lawrence I Goldblatt is 1255308011. The last update date is 2007-07-08.

Lawrence I Goldblatt's current location address is 1121 W Michigan St, Indianapolis, Indiana. You can contact this provider via phone number 3172747668 and fax number 3172743346. The mailing address for Lawrence I Goldblatt is 1121 W Michigan St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence I Goldblatt
Address 1121 W Michigan St, Indianapolis, Indiana
Phone Number 3172747668
Fax Number 3172743346
Sole Proprietor N
Credentials DDS MSD

NPI Number Detail

NPI Number 1255308011
Provider Enumeration Date 2006-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1121 W Michigan St
City Indianapolis
State Indiana (IN)
Post Code 462025211
Phone Number 3172747668
Fax Number 3172743346

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 12007207
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
211690 ANTHEM

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FAQs about Lawrence I Goldblatt

What is the unique 10-digit identifier code assigned to Lawrence I Goldblatt by the Centers for Medicare & Medicaid Services?

The Lawrence I Goldblatt has been issued the NPI (National Provider Identifier) 1255308011 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Lawrence I Goldblatt?

The Lawrence I Goldblatt is situated at 1121 W Michigan St, in the city of Indianapolis, state of IN, with the zip code 462025211.

What is Lawrence I Goldblatt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lawrence I Goldblatt is Oral And Maxillofacial Pathology, and the corresponding taxonomy classification code for this specialized field is 1223P0106X.

On what date did Lawrence I Goldblatt receive its 1255308011 assignment from the Centers for Medicare & Medicaid Services?

The Lawrence I Goldblatt was assigned its 1255308011 on 2006-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lawrence I Goldblatt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lawrence I Goldblatt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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