Jerome Leland Lichtenstein in Norwich - Oral And Maxillofacial Surgery
Jerome Leland Lichtenstein - NPI 1518171727
Jerome Leland Lichtenstein is a Oral And Maxillofacial Surgery in Norwich, Connecticut. Jerome Leland Lichtenstein practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jerome Leland Lichtenstein is 1518171727. The last update date is 2007-07-08.
Jerome Leland Lichtenstein's current location address is 113 Lafayette St, Norwich, Connecticut. You can contact this provider via phone number 8608891011 and fax number 8608895569. The mailing address for Jerome Leland Lichtenstein is 113 Lafayette St, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerome Leland Lichtenstein |
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Address | 113 Lafayette St, Norwich, Connecticut |
Phone Number | 8608891011 |
Fax Number | 8608895569 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1518171727 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 113 Lafayette St |
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City | Norwich |
State | Connecticut (CT) |
Post Code | 63602708 |
Phone Number | 8608891011 |
Fax Number | 8608895569 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 3755 |
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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What is the unique 10-digit identifier code assigned to Jerome Leland Lichtenstein by the Centers for Medicare & Medicaid Services?
The Jerome Leland Lichtenstein has been issued the NPI (National Provider Identifier) 1518171727 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerome Leland Lichtenstein's facilities are situated?
The facilities of Jerome Leland Lichtenstein are physically located at the following address: 113 Lafayette St, Norwich, CT, 63602708.
What is Jerome Leland Lichtenstein's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerome Leland Lichtenstein is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Jerome Leland Lichtenstein receive its 1518171727 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Leland Lichtenstein was assigned its 1518171727 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerome Leland Lichtenstein last refreshed?
The information related to the Jerome Leland Lichtenstein, including its address, specialty, and other relevant details, was last updated on 2007-07-08.