Laura B Glicksman in Needham - Orthodontics And Dentofacial Orthopedics

Laura B Glicksman - NPI 1053575068

Laura B Glicksman is a Orthodontics And Dentofacial Orthopedics in Needham, Massachusetts. Laura B Glicksman practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Laura B Glicksman is 1053575068. The last update date is 2008-07-18.

Laura B Glicksman's current location address is 119 Chestnut St, Needham, Massachusetts. You can contact this provider via phone number 7814493560 and fax number 7814490116. The mailing address for Laura B Glicksman is 119 Chestnut St, Needham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura B Glicksman
Address 119 Chestnut St, Needham, Massachusetts
Phone Number 7814493560
Fax Number 7814490116
Sole Proprietor Y
Credentials MS DMD

NPI Number Detail

NPI Number 1053575068
Provider Enumeration Date 2008-07-18
Last Updated Date 2008-07-18

Provider Mailing Address Detail

Address 119 Chestnut St
City Needham
State Massachusetts (MA)
Post Code 24922515
Phone Number 7814493560
Fax Number 7814490116

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 19557
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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FAQs about Laura B Glicksman

What is the unique 10-digit identification code issued to Laura B Glicksman by the Centers for Medicare & Medicaid Services?

The Laura B Glicksman has been assigned the NPI (National Provider Identifier) 1053575068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Laura B Glicksman?

The Laura B Glicksman is physically situated at 119 Chestnut St, in the city of Needham, state of MA, with the postal code 24922515.

What is the Laura B Glicksman's area of specialization and corresponding taxonomy classification?

The Laura B Glicksman's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.

On what date did the Laura B Glicksman receive its 1053575068 assignment from the Centers for Medicare & Medicaid Services?

The Laura B Glicksman was assigned its 1053575068 by the Centers for Medicare & Medicaid Services on 2008-07-18.

As of what date were the details pertaining to Laura B Glicksman last refreshed?

The information related to the Laura B Glicksman, including its address, specialty, and other relevant details, was last updated on 2008-07-18.

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