Lucian Dan Boboia in Fort Wayne - Pediatric Dentistry
Lucian Dan Boboia - NPI 1215004783
Lucian Dan Boboia is a Pediatric Dentistry in Fort Wayne, Indiana. Lucian Dan Boboia practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lucian Dan Boboia is 1215004783. The last update date is 2021-02-26.
Lucian Dan Boboia's current location address is 3030 Lake Ave Ste 15, Fort Wayne, Indiana. You can contact this provider via phone number 5129029997. The mailing address for Lucian Dan Boboia is 3030 Lake Ave Ste 15, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucian Dan Boboia |
|---|---|
| Address | 3030 Lake Ave Ste 15, Fort Wayne, Indiana |
| Phone Number | 5129029997 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215004783 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2021-02-26 |
Provider Mailing Address Detail
| Address | 3030 Lake Ave Ste 15 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055428 |
| Phone Number | 5129029997 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 29705 |
|
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 Lucian Dan Boboia by the Centers for Medicare & Medicaid Services?
The Lucian Dan Boboia has been issued the NPI (National Provider Identifier) 1215004783. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lucian Dan Boboia is geographically located?
The Lucian Dan Boboia is physically situated at the following location: 3030 Lake Ave Ste 15, Fort Wayne, IN, 468055428.
What is the Lucian Dan Boboia's area of specialization and corresponding taxonomy classification?
The Lucian Dan Boboia's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did Lucian Dan Boboia receive its 1215004783 assignment from the Centers for Medicare & Medicaid Services?
The Lucian Dan Boboia was assigned its 1215004783 on 2006-11-29, 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 Lucian Dan Boboia most recently updated or revised?
The information pertaining to Lucian Dan Boboia, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-26.
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