Louis Robert Prusack in Southampton - Pediatric Dentistry
Louis Robert Prusack - NPI 1508020330
Louis Robert Prusack is a Pediatric Dentistry in Southampton, Pennsylvania. Louis Robert Prusack practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Louis Robert Prusack is 1508020330. The last update date is 2008-07-10.
Louis Robert Prusack's current location address is 57 Street Rd, Southampton, Pennsylvania. You can contact this provider via phone number 2153553513 and fax number 2153553513. The mailing address for Louis Robert Prusack is 57 Street Rd, Southampton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louis Robert Prusack |
|---|---|
| Address | 57 Street Rd, Southampton, Pennsylvania |
| Phone Number | 2153553513 |
| Fax Number | 2153553513 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508020330 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 57 Street Rd |
|---|---|
| City | Southampton |
| State | Pennsylvania (PA) |
| Post Code | 189663100 |
| Phone Number | 2153553513 |
| Fax Number | 2153553513 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS016805L |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Louis Robert Prusack by the Centers for Medicare & Medicaid Services?
The Louis Robert Prusack has been issued the NPI (National Provider Identifier) 1508020330 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Louis Robert Prusack is located?
The Louis Robert Prusack is situated at the following address: 57 Street Rd, Southampton, PA, 189663100.
What is the Louis Robert Prusack's area of specialization and corresponding taxonomy classification?
The Louis Robert Prusack'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 the Centers for Medicare & Medicaid Services originally issue the 1508020330 to Louis Robert Prusack?
The Centers for Medicare & Medicaid Services originally issued the 1508020330 to Louis Robert Prusack on 2008-07-10.
As of what date was the information regarding Louis Robert Prusack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Louis Robert Prusack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-10.