Andrew Carl Lidral in Rockford - Orthodontics And Dentofacial Orthopedics
Andrew Carl Lidral - NPI 1306940317
Andrew Carl Lidral is a Orthodontics And Dentofacial Orthopedics in Rockford, Michigan. Andrew Carl Lidral practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Andrew Carl Lidral is 1306940317. The last update date is 2019-10-14.
Andrew Carl Lidral's current location address is 158 Marcell Dr Ne, Rockford, Michigan. You can contact this provider via phone number 6168668010 and fax number 6168667401. The mailing address for Andrew Carl Lidral is 158 Marcell Dr Ne, Rockford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Carl Lidral |
|---|---|
| Address | 158 Marcell Dr Ne, Rockford, Michigan |
| Phone Number | 6168668010 |
| Fax Number | 6168667401 |
| Sole Proprietor | N |
| Credentials | DDS PHD |
NPI Number Detail
| NPI Number | 1306940317 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2019-10-14 |
Provider Mailing Address Detail
| Address | 158 Marcell Dr Ne |
|---|---|
| City | Rockford |
| State | Michigan (MI) |
| Post Code | 49341 |
| Phone Number | 6168668010 |
| Fax Number | 6168667401 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 7539 |
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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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What is the unique provider identifier assigned to Andrew Carl Lidral?
The Andrew Carl Lidral has been issued the NPI (National Provider Identifier) 1306940317 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 address where Andrew Carl Lidral is physically located?
The Andrew Carl Lidral is situated at the following address: 158 Marcell Dr Ne, Rockford, MI 49341.
What is Andrew Carl Lidral's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrew Carl Lidral is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
When was the Andrew Carl Lidral's 1306940317 issued?
The Andrew Carl Lidral's 1306940317 was issued on 2006-09-11.
As of what date was the information regarding Andrew Carl Lidral, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrew Carl Lidral, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-14.