Lloyd Wade Lariscy in Dearborn - Periodontics
Lloyd Wade Lariscy - NPI 1578655809
Lloyd Wade Lariscy is a Periodontics in Dearborn, Michigan. Lloyd Wade Lariscy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lloyd Wade Lariscy is 1578655809. The last update date is 2007-07-08.
Lloyd Wade Lariscy'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 Lloyd Wade Lariscy is 24924 Michigan Ave, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lloyd Wade Lariscy |
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Address | 24924 Michigan Ave, Dearborn, Michigan |
Phone Number | 3132748522 |
Fax Number | 3132745396 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1578655809 |
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Provider Enumeration Date | 2006-09-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 24924 Michigan Ave |
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City | Dearborn |
State | Michigan (MI) |
Post Code | 481241740 |
Phone Number | 3132748522 |
Fax Number | 3132745396 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 13287 |
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 10-digit identification code issued to Lloyd Wade Lariscy by the Centers for Medicare & Medicaid Services?
The Lloyd Wade Lariscy has been assigned the NPI (National Provider Identifier) 1578655809 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lloyd Wade Lariscy is physically located?
The Lloyd Wade Lariscy is physically situated at the following address: 24924 Michigan Ave, Dearborn, MI, 481241740.
What is Lloyd Wade Lariscy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lloyd Wade Lariscy's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578655809 to Lloyd Wade Lariscy?
The Centers for Medicare & Medicaid Services assigned the 1578655809 to Lloyd Wade Lariscy on 2006-09-28.
When was the Lloyd Wade Lariscy's information last updated?
The Lloyd Wade Lariscy's information was last updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH