David Lee Gaston in Waukegan - Periodontics
David Lee Gaston - NPI 1851502033
David Lee Gaston is a Periodontics in Waukegan, Illinois. David Lee Gaston practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Lee Gaston is 1851502033. The last update date is 2007-07-08.
David Lee Gaston's current location address is 2634 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8472490046. The mailing address for David Lee Gaston is 2634 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Gaston |
|---|---|
| Address | 2634 Grand Ave, Waukegan, Illinois |
| Phone Number | 8472490046 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1851502033 |
|---|---|
| Provider Enumeration Date | 2007-05-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2634 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600852458 |
| Phone Number | 8472490046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19.01832 |
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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 identification code assigned to David Lee Gaston by the Centers for Medicare & Medicaid Services?
The David Lee Gaston has been issued the NPI (National Provider Identifier) 1851502033, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Lee Gaston is physically located?
The David Lee Gaston is situated at the following address: 2634 Grand Ave, Waukegan, IL 600852458.
What is David Lee Gaston's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Lee Gaston's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the David Lee Gaston receive the assignment of its 1851502033 from the Centers for Medicare & Medicaid Services?
The David Lee Gaston was issued its 1851502033 by the Centers for Medicare & Medicaid Services on 2007-05-27.
As of what date was the information pertaining to David Lee Gaston, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Lee Gaston, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.