Edward Lawrence Donaldson in Slidell - Pediatric Dentistry
Edward Lawrence Donaldson - NPI 1417015512
Edward Lawrence Donaldson is a Pediatric Dentistry in Slidell, Louisiana. Edward Lawrence Donaldson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Edward Lawrence Donaldson is 1417015512. The last update date is 2007-07-08.
Edward Lawrence Donaldson's current location address is 2960 E Gause Blvd, Slidell, Louisiana. You can contact this provider via phone number 9856413988 and fax number 9856462536. The mailing address for Edward Lawrence Donaldson is 2960 E Gause Blvd, Slidell, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Lawrence Donaldson |
|---|---|
| Address | 2960 E Gause Blvd, Slidell, Louisiana |
| Phone Number | 9856413988 |
| Fax Number | 9856462536 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417015512 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2960 E Gause Blvd |
|---|---|
| City | Slidell |
| State | Louisiana (LA) |
| Post Code | 70461 |
| Phone Number | 9856413988 |
| Fax Number | 9856462536 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2205 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1822051 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Lawrence Donaldson by the Centers for Medicare & Medicaid Services?
The Edward Lawrence Donaldson has been assigned the NPI (National Provider Identifier) 1417015512. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edward Lawrence Donaldson is located?
The Edward Lawrence Donaldson is situated at the following address: 2960 E Gause Blvd, Slidell, LA, 70461.
What is the Edward Lawrence Donaldson's specialty and taxonomy code?
The Edward Lawrence Donaldson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Edward Lawrence Donaldson receive its 1417015512 assignment from the Centers for Medicare & Medicaid Services?
The Edward Lawrence Donaldson was assigned its 1417015512 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edward Lawrence Donaldson most recently updated or revised?
The details related to Edward Lawrence Donaldson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.