Gary K Lines in Glendale - Oral And Maxillofacial Surgery
Gary K Lines - NPI 1588771125
Gary K Lines is a Oral And Maxillofacial Surgery in Glendale, Arizona. Gary K Lines practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gary K Lines is 1588771125. The last update date is 2007-07-09.
Gary K Lines's current location address is 18301 N 79th Ave, Glendale, Arizona. You can contact this provider via phone number 6239319197 and fax number 6239374385. The mailing address for Gary K Lines is 18301 N 79th Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary K Lines |
|---|---|
| Address | 18301 N 79th Ave, Glendale, Arizona |
| Phone Number | 6239319197 |
| Fax Number | 6239374385 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1588771125 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 18301 N 79th Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853088463 |
| Phone Number | 6239319197 |
| Fax Number | 6239374385 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3675 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Gary K Lines's 1588771125?
The Gary K Lines's NPI (National Provider Identifier) Number is 1588771125. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary K Lines's physical address?
The Gary K Lines is physically located at 18301 N 79Th Ave, in the city of Glendale, AZ, with the postal code 853088463.
What is the Gary K Lines's area of specialization and corresponding taxonomy classification?
The Gary K Lines's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Gary K Lines receive the assignment of its 1588771125 from the Centers for Medicare & Medicaid Services?
The Gary K Lines was issued its 1588771125 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date were the Gary K Lines's details last updated?
The information pertaining to the Gary K Lines, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1932102142
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