Ira Leroy Cantner in Old Lyme - Periodontics
Ira Leroy Cantner - NPI 1629082540
Ira Leroy Cantner is a Periodontics in Old Lyme, Connecticut. Ira Leroy Cantner practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ira Leroy Cantner is 1629082540. The last update date is 2007-07-08.
Ira Leroy Cantner's current location address is 1 Bayberry Ridge Rd, Old Lyme, Connecticut. You can contact this provider via phone number 8604348663. The mailing address for Ira Leroy Cantner is 1 Bayberry Ridge Rd, Old Lyme, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira Leroy Cantner |
|---|---|
| Address | 1 Bayberry Ridge Rd, Old Lyme, Connecticut |
| Phone Number | 8604348663 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1629082540 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Bayberry Ridge Rd |
|---|---|
| City | Old Lyme |
| State | Connecticut (CT) |
| Post Code | 63711302 |
| Phone Number | 8604348663 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5330 |
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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 10-digit identifier code assigned to Ira Leroy Cantner by the Centers for Medicare & Medicaid Services?
The Ira Leroy Cantner has been issued the NPI (National Provider Identifier) 1629082540 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ira Leroy Cantner is located?
The Ira Leroy Cantner is situated at the following address: 1 Bayberry Ridge Rd, Old Lyme, CT, 63711302.
What is the area of specialization for Ira Leroy Cantner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ira Leroy Cantner is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629082540 to Ira Leroy Cantner?
The Centers for Medicare & Medicaid Services originally issued the 1629082540 to Ira Leroy Cantner on 2006-07-28.
As of what date were the Ira Leroy Cantner's details last updated?
The information pertaining to the Ira Leroy Cantner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY