Lawrence Scott Holmgren in Edmond - Oral And Maxillofacial Surgery

Lawrence Scott Holmgren - NPI 1407863616

Lawrence Scott Holmgren is a Oral And Maxillofacial Surgery in Edmond, Oklahoma. Lawrence Scott Holmgren practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lawrence Scott Holmgren is 1407863616. The last update date is 2009-04-23.

Lawrence Scott Holmgren's current location address is 1004 Medical Park Blvd, Edmond, Oklahoma. You can contact this provider via phone number 4053488184 and fax number 4053485349. The mailing address for Lawrence Scott Holmgren is 1004 Medical Park Blvd, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Scott Holmgren
Address 1004 Medical Park Blvd, Edmond, Oklahoma
Phone Number 4053488184
Fax Number 4053485349
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1407863616
Provider Enumeration Date 2006-08-01
Last Updated Date 2009-04-23

Provider Mailing Address Detail

Address 1004 Medical Park Blvd
City Edmond
State Oklahoma (OK)
Post Code 73013
Phone Number 4053488184
Fax Number 4053485349

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 4694
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
731474414001 BLUE CROSS BLUE SHIELD

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FAQs about Lawrence Scott Holmgren

What is the unique provider identifier assigned to Lawrence Scott Holmgren?

The Lawrence Scott Holmgren has been issued the NPI (National Provider Identifier) 1407863616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Lawrence Scott Holmgren is located?

The Lawrence Scott Holmgren is situated at the following address: 1004 Medical Park Blvd, Edmond, OK, 73013.

What is Lawrence Scott Holmgren's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lawrence Scott Holmgren is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407863616 to Lawrence Scott Holmgren?

The Lawrence Scott Holmgren received its 1407863616 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.

When was the information pertaining to Lawrence Scott Holmgren most recently updated or revised?

The details related to Lawrence Scott Holmgren, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-23.

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