Josef W Lubisich in Vancouver - Pediatric Dentistry
Josef W Lubisich - NPI 1326260035
Josef W Lubisich is a Pediatric Dentistry in Vancouver, Washington. Josef W Lubisich practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Josef W Lubisich is 1326260035. The last update date is 2007-07-09.
Josef W Lubisich's current location address is 300 Se 120th Ave, Vancouver, Washington. You can contact this provider via phone number 3602561755 and fax number 3608828080. The mailing address for Josef W Lubisich is 300 Se 120th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Josef W Lubisich |
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Address | 300 Se 120th Ave, Vancouver, Washington |
Phone Number | 3602561755 |
Fax Number | 3608828080 |
Sole Proprietor | N |
Credentials | D.M.D., M. |
NPI Number Detail
NPI Number | 1326260035 |
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Provider Enumeration Date | 2007-05-03 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 300 Se 120th Ave |
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City | Vancouver |
State | Washington (WA) |
Post Code | 986834090 |
Phone Number | 3602561755 |
Fax Number | 3608828080 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | DE00010088 |
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 |
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5049481 | WA | -- |
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What is the unique identification code assigned to Josef W Lubisich by the Centers for Medicare & Medicaid Services?
The Josef W Lubisich has been issued the NPI (National Provider Identifier) 1326260035. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Josef W Lubisich?
The Josef W Lubisich is situated at 300 Se 120Th Ave, in the city of Vancouver, state of WA, with the zip code 986834090.
What is the Josef W Lubisich's area of specialization and corresponding taxonomy classification?
The Josef W Lubisich'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 Josef W Lubisich receive its 1326260035 assignment from the Centers for Medicare & Medicaid Services?
The Josef W Lubisich was assigned its 1326260035 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Josef W Lubisich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Josef W Lubisich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.