Trace Michael Lund in Provo - Pediatric Dentistry
Trace Michael Lund - NPI 1912072620
Trace Michael Lund is a Pediatric Dentistry in Provo, Utah. Trace Michael Lund practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Trace Michael Lund is 1912072620. The last update date is 2007-07-08.
Trace Michael Lund's current location address is 745 North 500 West, Provo, Utah. You can contact this provider via phone number 8013734200 and fax number 8013730816. The mailing address for Trace Michael Lund is 745 North 500 West, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trace Michael Lund |
|---|---|
| Address | 745 North 500 West, Provo, Utah |
| Phone Number | 8013734200 |
| Fax Number | 8013730816 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912072620 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 745 North 500 West |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84601 |
| Phone Number | 8013734200 |
| Fax Number | 8013730816 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 344947-9922 |
|
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 identifier code issued to Trace Michael Lund by the Centers for Medicare & Medicaid Services (CMS)?
The Trace Michael Lund has been assigned the NPI (National Provider Identifier) 1912072620. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Trace Michael Lund is physically located?
The Trace Michael Lund is situated at the following address: 745 North 500 West, Provo, UT 84601.
What is Trace Michael Lund's specialized field of practice, and what is the corresponding taxonomy classification code?
The Trace Michael Lund's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did Trace Michael Lund receive its 1912072620 assignment?
The Trace Michael Lund was assigned its 1912072620 on 2006-11-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Trace Michael Lund, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Trace Michael Lund, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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