Anthony A. Indovina in Marrero - Oral And Maxillofacial Surgery

Anthony A. Indovina - NPI 1184787921

Anthony A. Indovina is a Oral And Maxillofacial Surgery in Marrero, Louisiana. Anthony A. Indovina practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Anthony A. Indovina is 1184787921. The last update date is 2007-07-09.

Anthony A. Indovina's current location address is 5132 Lapalco Blvd, Marrero, Louisiana. You can contact this provider via phone number 5043402401 and fax number 5043402423. The mailing address for Anthony A. Indovina is 5132 Lapalco Blvd, Marrero, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony A. Indovina
Address 5132 Lapalco Blvd, Marrero, Louisiana
Phone Number 5043402401
Fax Number 5043402423
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1184787921
Provider Enumeration Date 2006-12-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5132 Lapalco Blvd
City Marrero
State Louisiana (LA)
Post Code 700724238
Phone Number 5043402401
Fax Number 5043402423

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 2650
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
1826502 LA --
110423 LA CIGNA DMO
600034 LA UNITED CONCORDIA
A1577 LA BLUE CROSS FEDERAL
689358 LA AETNA HMO
4013264 LA AETNA EPO
A1577 LA BLUE CROSS ID #

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FAQs about Anthony A. Indovina

What is the unique identification code assigned to Anthony A. Indovina by the Centers for Medicare & Medicaid Services?

The Anthony A. Indovina has been issued the NPI (National Provider Identifier) 1184787921. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Anthony A. Indovina is physically located?

The Anthony A. Indovina is physically situated at the following address: 5132 Lapalco Blvd, Marrero, LA, 700724238.

What is Anthony A. Indovina's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Anthony A. Indovina's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Anthony A. Indovina receive its 1184787921 assignment from the Centers for Medicare & Medicaid Services?

The Anthony A. Indovina was assigned its 1184787921 by the Centers for Medicare & Medicaid Services on 2006-12-19.

As of what date were the details related to Anthony A. Indovina most recently updated or revised?

The information pertaining to Anthony A. Indovina, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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