David Paul Ludington in Onalaska - Oral And Maxillofacial Surgery
David Paul Ludington - NPI 1770570624
David Paul Ludington is a Oral And Maxillofacial Surgery in Onalaska, Wisconsin. David Paul Ludington practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David Paul Ludington is 1770570624. The last update date is 2007-07-08.
David Paul Ludington's current location address is 2819 National Dr, Onalaska, Wisconsin. You can contact this provider via phone number 6087828193 and fax number 6087824517. The mailing address for David Paul Ludington is 2819 National Dr, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Paul Ludington |
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Address | 2819 National Dr, Onalaska, Wisconsin |
Phone Number | 6087828193 |
Fax Number | 6087824517 |
Sole Proprietor | X |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1770570624 |
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Provider Enumeration Date | 2005-10-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2819 National Dr |
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City | Onalaska |
State | Wisconsin (WI) |
Post Code | 546506703 |
Phone Number | 6087828193 |
Fax Number | 6087824517 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 5106 |
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 |
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33757600 | WI | -- |
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What is the unique identifier code issued to David Paul Ludington by the Centers for Medicare & Medicaid Services (CMS)?
The David Paul Ludington has been assigned the NPI (National Provider Identifier) 1770570624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of David Paul Ludington?
The David Paul Ludington is situated at 2819 National Dr, in the city of Onalaska, state of WI, with the zip code 546506703.
What is David Paul Ludington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Paul Ludington is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770570624 to David Paul Ludington?
The David Paul Ludington received its 1770570624 assignment from the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the David Paul Ludington's details last updated?
The information pertaining to the David Paul Ludington, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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