Alden Marvin Leib in Dearborn - Periodontics
Alden Marvin Leib - NPI 1407939762
Alden Marvin Leib is a Periodontics in Dearborn, Michigan. Alden Marvin Leib practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Alden Marvin Leib is 1407939762. The last update date is 2007-07-08.
Alden Marvin Leib's current location address is 24924 Michigan Ave, Dearborn, Michigan. You can contact this provider via phone number 3132748522 and fax number 3132745396. The mailing address for Alden Marvin Leib is 24924 Michigan Ave, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alden Marvin Leib |
|---|---|
| Address | 24924 Michigan Ave, Dearborn, Michigan |
| Phone Number | 3132748522 |
| Fax Number | 3132745396 |
| Sole Proprietor | N |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1407939762 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24924 Michigan Ave |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481241740 |
| Phone Number | 3132748522 |
| Fax Number | 3132745396 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 8253 |
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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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What is the unique identification code assigned to Alden Marvin Leib by the Centers for Medicare & Medicaid Services?
The Alden Marvin Leib has been issued the NPI (National Provider Identifier) 1407939762. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Alden Marvin Leib's physical address?
The Alden Marvin Leib is physically located at 24924 Michigan Ave, in the city of Dearborn, MI, with the postal code 481241740.
What is the Alden Marvin Leib's specialty and taxonomy code?
The Alden Marvin Leib's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407939762 to Alden Marvin Leib?
The Alden Marvin Leib received its 1407939762 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Alden Marvin Leib most recently updated or revised?
The details related to Alden Marvin Leib, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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