Lidieth Libby in Phoenix - Pediatric Dentistry
Lidieth Libby - NPI 1518062405
Lidieth Libby is a Pediatric Dentistry in Phoenix, Arizona. Lidieth Libby practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lidieth Libby is 1518062405. The last update date is 2007-07-08.
Lidieth Libby's current location address is 20950 N Tatum Blvd Ste 320, Phoenix, Arizona. You can contact this provider via phone number 4805855868 and fax number 4805851208. The mailing address for Lidieth Libby is 20950 N Tatum Blvd Ste 320, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lidieth Libby |
|---|---|
| Address | 20950 N Tatum Blvd Ste 320, Phoenix, Arizona |
| Phone Number | 4805855868 |
| Fax Number | 4805851208 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1518062405 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20950 N Tatum Blvd Ste 320 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850504255 |
| Phone Number | 4805855868 |
| Fax Number | 4805851208 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5548 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identification code assigned to Lidieth Libby by the Centers for Medicare & Medicaid Services?
The Lidieth Libby has been issued the NPI (National Provider Identifier) 1518062405. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lidieth Libby?
The Lidieth Libby is situated at 20950 N Tatum Blvd Ste 320, in the city of Phoenix, state of AZ, with the zip code 850504255.
What is Lidieth Libby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lidieth Libby is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Lidieth Libby receive the assignment of its 1518062405 from the Centers for Medicare & Medicaid Services?
The Lidieth Libby was issued its 1518062405 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information related to Lidieth Libby most recently updated or refreshed?
The details pertaining to the Lidieth Libby, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.