Clifford G Lisman in Phillipsburg - Pediatric Dentistry
Clifford G Lisman - NPI 1114014982
Clifford G Lisman is a Pediatric Dentistry in Phillipsburg, New Jersey. Clifford G Lisman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Clifford G Lisman is 1114014982. The last update date is 2014-08-27.
Clifford G Lisman's current location address is 320 South Main Street, Phillipsburg, New Jersey. You can contact this provider via phone number 9083876120 and fax number 9083878322. The mailing address for Clifford G Lisman is 320 South Main Street, Phillipsburg, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford G Lisman |
|---|---|
| Address | 320 South Main Street, Phillipsburg, New Jersey |
| Phone Number | 9083876120 |
| Fax Number | 9083878322 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1114014982 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2014-08-27 |
Provider Mailing Address Detail
| Address | 320 South Main Street |
|---|---|
| City | Phillipsburg |
| State | New Jersey (NJ) |
| Post Code | 8865 |
| Phone Number | 9083876120 |
| Fax Number | 9083878322 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DI010843 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1326708 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clifford G Lisman?
The Clifford G Lisman has been issued the NPI (National Provider Identifier) 1114014982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Clifford G Lisman's physical address?
The Clifford G Lisman is physically located at 320 South Main Street, in the city of Phillipsburg, NJ, with the postal code 8865.
What is Clifford G Lisman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clifford G Lisman's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Clifford G Lisman receive the assignment of its 1114014982 from the Centers for Medicare & Medicaid Services?
The Clifford G Lisman was issued its 1114014982 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date was the information regarding Clifford G Lisman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clifford G Lisman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-27.