Lance Svoboda in Minneapolis - Oral And Maxillofacial Surgery
Lance Svoboda - NPI 1639118771
Lance Svoboda is a Oral And Maxillofacial Surgery in Minneapolis, Minnesota. Lance Svoboda practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lance Svoboda is 1639118771. The last update date is 2007-07-30.
Lance Svoboda's current location address is 701 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128732370. The mailing address for Lance Svoboda is 701 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Svoboda |
|---|---|
| Address | 701 Park Ave, Minneapolis, Minnesota |
| Phone Number | 6128732370 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1639118771 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 701 Park Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554151623 |
| Phone Number | 6128732370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D11474 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93455100 | MN | -- |
Post Comment/ Review Below
Can you provide the Lance Svoboda's physical address?
The Lance Svoboda is physically located at 701 Park Ave, in the city of Minneapolis, MN, with the postal code 554151623.
Could you please provide the complete street address where Lance Svoboda is physically located?
The Lance Svoboda is physically situated at the following address: 701 Park Ave, Minneapolis, MN, 554151623.
When did the Lance Svoboda receive its 1639118771?
The Lance Svoboda was issued its 1639118771 on 2006-06-05, which is the date when the organization was assigned this unique identifier.
On what date did the Lance Svoboda receive its 1639118771 assignment from the Centers for Medicare & Medicaid Services?
The Lance Svoboda was assigned its 1639118771 by the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date were the details related to Lance Svoboda most recently updated or revised?
The information pertaining to Lance Svoboda, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY