Enrique Lacuesta in Gulfport - Periodontics
Enrique Lacuesta - NPI 1871656686
Enrique Lacuesta is a Periodontics in Gulfport, Mississippi. Enrique Lacuesta practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Enrique Lacuesta is 1871656686. The last update date is 2007-07-08.
Enrique Lacuesta's current location address is 22-29th Street, Gulfport, Mississippi. You can contact this provider via phone number 2288689615 and fax number 2288689677. The mailing address for Enrique Lacuesta is 22-29th Street, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enrique Lacuesta |
|---|---|
| Address | 22-29th Street, Gulfport, Mississippi |
| Phone Number | 2288689615 |
| Fax Number | 2288689677 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871656686 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22-29th Street |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 39507 |
| Phone Number | 2288689615 |
| Fax Number | 2288689677 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1758-77 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 755128 | MS | UNITED CONCORDIA PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Enrique Lacuesta by the Centers for Medicare & Medicaid Services?
The Enrique Lacuesta has been assigned the NPI (National Provider Identifier) 1871656686. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Enrique Lacuesta is geographically located?
The Enrique Lacuesta is physically situated at the following location: 22-29Th Street, Gulfport, MS, 39507.
What is Enrique Lacuesta's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Enrique Lacuesta is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When did Enrique Lacuesta receive its 1871656686 assignment?
The Enrique Lacuesta was assigned its 1871656686 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Enrique Lacuesta most recently updated?
The details pertaining to the Enrique Lacuesta, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC