Lisbeth W Poag in Sumter - Pediatric Dentistry

Lisbeth W Poag - NPI 1013960616

Lisbeth W Poag is a Pediatric Dentistry in Sumter, South Carolina. Lisbeth W Poag practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lisbeth W Poag is 1013960616. The last update date is 2012-07-09.

Lisbeth W Poag's current location address is 500 Physicians Ln, Sumter, South Carolina. You can contact this provider via phone number 8037754793 and fax number 8039349943. The mailing address for Lisbeth W Poag is 500 Physicians Ln, Sumter, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisbeth W Poag
Address 500 Physicians Ln, Sumter, South Carolina
Phone Number 8037754793
Fax Number 8039349943
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1013960616
Provider Enumeration Date 2006-05-18
Last Updated Date 2012-07-09

Provider Mailing Address Detail

Address 500 Physicians Ln
City Sumter
State South Carolina (SC)
Post Code 291503370
Phone Number 8037754793
Fax Number 8039349943

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3503-0509PD
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
Z35034 SC --

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FAQs about Lisbeth W Poag

What is the unique 10-digit identifier code issued to Lisbeth W Poag by the Centers for Medicare & Medicaid Services?

The Lisbeth W Poag has been assigned the NPI (National Provider Identifier) 1013960616 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Lisbeth W Poag is physically located?

The Lisbeth W Poag is situated at the following address: 500 Physicians Ln, Sumter, SC 291503370.

What is Lisbeth W Poag's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lisbeth W Poag's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

What is Lisbeth W Poag's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lisbeth W Poag is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date was the 1013960616 assigned to Lisbeth W Poag?

The Lisbeth W Poag was issued its 1013960616 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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