Lawrence L. Phan in Brookline - Prosthodontics

Lawrence L. Phan - NPI 1083620819

Lawrence L. Phan is a Prosthodontics in Brookline, Massachusetts. Lawrence L. Phan practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Lawrence L. Phan is 1083620819. The last update date is 2007-07-08.

Lawrence L. Phan's current location address is 1330 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6177346300 and fax number 6177342732. The mailing address for Lawrence L. Phan is 1330 Beacon St, Brookline, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence L. Phan
Address 1330 Beacon St, Brookline, Massachusetts
Phone Number 6177346300
Fax Number 6177342732
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1083620819
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1330 Beacon St
City Brookline
State Massachusetts (MA)
Post Code 24463282
Phone Number 6177346300
Fax Number 6177342732

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 16254
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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FAQs about Lawrence L. Phan

What is the unique identifier code issued to Lawrence L. Phan by the Centers for Medicare & Medicaid Services?

The Lawrence L. Phan has been assigned the NPI (National Provider Identifier) 1083620819. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Lawrence L. Phan is physically located?

The Lawrence L. Phan is situated at the following address: 1330 Beacon St, Brookline, MA 24463282.

What is the Lawrence L. Phan's specialty and taxonomy code?

The Lawrence L. Phan's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.

On what date did the Lawrence L. Phan receive the assignment of its 1083620819 from the Centers for Medicare & Medicaid Services?

The Lawrence L. Phan was issued its 1083620819 by the Centers for Medicare & Medicaid Services on 2006-08-01.

When was the information pertaining to Lawrence L. Phan most recently updated or revised?

The details related to Lawrence L. Phan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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