Bolivar Luperon is a Prosthodontics in Buford, Georgia. Bolivar Luperon practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Bolivar Luperon is 1336202951. The last update date is 2012-06-06.
Bolivar Luperon's current location address is 2725 Hamilton Mill Rd, Buford, Georgia. You can contact this provider via phone number 7709328577. The mailing address for Bolivar Luperon is 2725 Hamilton Mill Rd, Buford, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bolivar Luperon |
|---|---|
| Address | 2725 Hamilton Mill Rd, Buford, Georgia |
| Phone Number | 7709328577 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336202951 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | 2725 Hamilton Mill Rd |
|---|---|
| City | Buford |
| State | Georgia (GA) |
| Post Code | 305194187 |
| Phone Number | 7709328577 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DN013214 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identifier code issued to Bolivar Luperon by the Centers for Medicare & Medicaid Services?
The Bolivar Luperon has been assigned the NPI (National Provider Identifier) 1336202951 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bolivar Luperon is located?
The Bolivar Luperon is situated at the following address: 2725 Hamilton Mill Rd, Buford, GA, 305194187.
What is Bolivar Luperon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bolivar Luperon's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336202951 to Bolivar Luperon?
The Bolivar Luperon received its 1336202951 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date was the information regarding Bolivar Luperon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bolivar Luperon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-06.