Lawrence Eugene Mast in Bellevue - Pediatric Dentistry
Lawrence Eugene Mast - NPI 1710067855
Lawrence Eugene Mast is a Pediatric Dentistry in Bellevue, Washington. Lawrence Eugene Mast practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lawrence Eugene Mast is 1710067855. The last update date is 2007-07-09.
Lawrence Eugene Mast's current location address is 2150 112 Ave Ne #a, Bellevue, Washington. You can contact this provider via phone number 4254550784 and fax number 4254513999. The mailing address for Lawrence Eugene Mast is 2150 112 Ave Ne #a, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Eugene Mast |
|---|---|
| Address | 2150 112 Ave Ne #a, Bellevue, Washington |
| Phone Number | 4254550784 |
| Fax Number | 4254513999 |
| Sole Proprietor | N |
| Credentials | DDS MSD PS |
NPI Number Detail
| NPI Number | 1710067855 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2150 112 Ave Ne #a |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980042939 |
| Phone Number | 4254550784 |
| Fax Number | 4254513999 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4233 |
|
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 |
|---|---|---|---|
| 5390802 | WA | -- | |
| 5018171 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lawrence Eugene Mast by the Centers for Medicare & Medicaid Services?
The Lawrence Eugene Mast has been issued the NPI (National Provider Identifier) 1710067855. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lawrence Eugene Mast is physically located?
The Lawrence Eugene Mast is physically situated at the following address: 2150 112 Ave Ne #A, Bellevue, WA, 980042939.
What is Lawrence Eugene Mast's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lawrence Eugene Mast is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date was the 1710067855 assigned to Lawrence Eugene Mast?
The Lawrence Eugene Mast was issued its 1710067855 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lawrence Eugene Mast, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lawrence Eugene Mast, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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