Leroy Lance in Tustin - Orthodontics And Dentofacial Orthopedics
Leroy Lance - NPI 1568686475
Leroy Lance is a Orthodontics And Dentofacial Orthopedics in Tustin, California. Leroy Lance practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Leroy Lance is 1568686475. The last update date is 2007-07-08.
Leroy Lance's current location address is 18102 Irvine Blvd, Tustin, California. You can contact this provider via phone number 7147315656 and fax number 7147312607. The mailing address for Leroy Lance is 18102 Irvine Blvd, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leroy Lance |
|---|---|
| Address | 18102 Irvine Blvd, Tustin, California |
| Phone Number | 7147315656 |
| Fax Number | 7147312607 |
| Sole Proprietor | Y |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1568686475 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18102 Irvine Blvd |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927803402 |
| Phone Number | 7147315656 |
| Fax Number | 7147312607 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 15075 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leroy Lance by the Centers for Medicare & Medicaid Services?
The Leroy Lance has been issued the NPI (National Provider Identifier) 1568686475 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Leroy Lance is geographically located?
The Leroy Lance is physically situated at the following location: 18102 Irvine Blvd, Tustin, CA, 927803402.
What is Leroy Lance's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leroy Lance's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568686475 to Leroy Lance?
The Leroy Lance received its 1568686475 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date was the information regarding Leroy Lance, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leroy Lance, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.