Sambath Keo, Dmd, Inc in Lowell - General Practice

Sambath Keo, Dmd, Inc - NPI 1366614174

Sambath Keo, Dmd, Inc is a General Practice in Lowell, Massachusetts. Sambath Keo, Dmd, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sambath Keo, Dmd, Inc is 1366614174. The last update date is 2008-04-01.

Sambath Keo, Dmd, Inc's current location address is 50 Wood St, Lowell, Massachusetts. You can contact this provider via phone number 9784419991 and fax number 9784419996. The mailing address for Sambath Keo, Dmd, Inc is 50 Wood St, Lowell, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sambath Keo, Dmd, Inc
Address 50 Wood St, Lowell, Massachusetts
Phone Number 9784419991
Fax Number 9784419996
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Keo Sambath
Telephone Number 9784419991

NPI Number Detail

NPI Number 1366614174
Provider Enumeration Date 2008-04-01
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 50 Wood St
City Lowell
State Massachusetts (MA)
Post Code 18511519
Phone Number 9784419991
Fax Number 9784419996

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 17863
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273732 MA --

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FAQs about Sambath Keo, Dmd, Inc

What is the unique identifier code issued to Sambath Keo, Dmd, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Sambath Keo, Dmd, Inc has been assigned the NPI (National Provider Identifier) 1366614174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Sambath Keo, Dmd, Inc is physically located?

The Sambath Keo, Dmd, Inc is physically situated at the following address: 50 Wood St, Lowell, MA, 18511519.

What is Sambath Keo, Dmd, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sambath Keo, Dmd, Inc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Sambath Keo, Dmd, Inc receive its 1366614174 assignment from the Centers for Medicare & Medicaid Services?

The Sambath Keo, Dmd, Inc was assigned its 1366614174 by the Centers for Medicare & Medicaid Services on 2008-04-01.

As of what date was the information regarding Sambath Keo, Dmd, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sambath Keo, Dmd, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-01.

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