Michael T Letkewicz in Waterloo - Oral And Maxillofacial Surgery

Michael T Letkewicz - NPI 1366585119

Michael T Letkewicz is a Oral And Maxillofacial Surgery in Waterloo, Iowa. Michael T Letkewicz practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael T Letkewicz is 1366585119. The last update date is 2007-07-08.

Michael T Letkewicz's current location address is 3430 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192341210 and fax number 3192344671. The mailing address for Michael T Letkewicz is 3430 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael T Letkewicz
Address 3430 Kimball Ave, Waterloo, Iowa
Phone Number 3192341210
Fax Number 3192344671
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1366585119
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3430 Kimball Ave
City Waterloo
State Iowa (IA)
Post Code 50702
Phone Number 3192341210
Fax Number 3192344671

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 7695
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14545 IA WELLMARK BCBS
106302 IA --

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FAQs about Michael T Letkewicz

What is the unique identifier code issued to Michael T Letkewicz by the Centers for Medicare & Medicaid Services (CMS)?

The Michael T Letkewicz has been assigned the NPI (National Provider Identifier) 1366585119. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Michael T Letkewicz is located?

The Michael T Letkewicz is situated at the following address: 3430 Kimball Ave, Waterloo, IA, 50702.

What is the area of specialization for Michael T Letkewicz, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael T Letkewicz is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

When did the Michael T Letkewicz receive its 1366585119?

The Michael T Letkewicz was issued its 1366585119 on 2007-02-14, which is the date when the organization was assigned this unique identifier.

When was the information regarding Michael T Letkewicz most recently updated?

The details pertaining to the Michael T Letkewicz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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