Myra M Lussman in West Des Moines - Pediatric Dentistry
Myra M Lussman - NPI 1821054487
Myra M Lussman is a Pediatric Dentistry in West Des Moines, Iowa. Myra M Lussman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Myra M Lussman is 1821054487. The last update date is 2007-07-08.
Myra M Lussman's current location address is 4090 Westown Pkwy, West Des Moines, Iowa. You can contact this provider via phone number 5152670737 and fax number 5152671480. The mailing address for Myra M Lussman is 4090 Westown Pkwy, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra M Lussman |
|---|---|
| Address | 4090 Westown Pkwy, West Des Moines, Iowa |
| Phone Number | 5152670737 |
| Fax Number | 5152671480 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821054487 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4090 Westown Pkwy |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502666760 |
| Phone Number | 5152670737 |
| Fax Number | 5152671480 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7920 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Myra M Lussman by the Centers for Medicare & Medicaid Services?
The Myra M Lussman has been issued the NPI (National Provider Identifier) 1821054487 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Myra M Lussman is physically located?
The Myra M Lussman is situated at the following address: 4090 Westown Pkwy, West Des Moines, IA 502666760.
What is Myra M Lussman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Myra M Lussman's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did Myra M Lussman receive its 1821054487 assignment?
The Myra M Lussman was assigned its 1821054487 on 2006-04-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Myra M Lussman most recently updated?
The details pertaining to the Myra M Lussman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.