Russell Lee Love in Redondo Beach - Periodontics
Russell Lee Love - NPI 1629092176
Russell Lee Love is a Periodontics in Redondo Beach, California. Russell Lee Love practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Russell Lee Love is 1629092176. The last update date is 2007-07-08.
Russell Lee Love's current location address is 332 Via San Sebastian, Redondo Beach, California. You can contact this provider via phone number 3105486589. The mailing address for Russell Lee Love is 332 Via San Sebastian, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Lee Love |
|---|---|
| Address | 332 Via San Sebastian, Redondo Beach, California |
| Phone Number | 3105486589 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629092176 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 332 Via San Sebastian |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902776658 |
| Phone Number | 3105486589 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 26676 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identification code assigned to Russell Lee Love by the Centers for Medicare & Medicaid Services?
The Russell Lee Love has been issued the NPI (National Provider Identifier) 1629092176. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Russell Lee Love is geographically located?
The Russell Lee Love is physically situated at the following location: 332 Via San Sebastian, Redondo Beach, CA, 902776658.
What is the Russell Lee Love's specialty and taxonomy code?
The Russell Lee Love's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629092176 to Russell Lee Love?
The Centers for Medicare & Medicaid Services assigned the 1629092176 to Russell Lee Love on 2006-07-27.
As of what date were the details related to Russell Lee Love most recently updated or revised?
The information pertaining to Russell Lee Love, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.