Lifesmile Dental Group in Portland - General Practice
Lifesmile Dental Group - NPI 1144416959
Lifesmile Dental Group is a General Practice in Portland, Oregon. Lifesmile Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifesmile Dental Group is 1144416959. The last update date is 2007-09-15.
Lifesmile Dental Group's current location address is 13305 Nw Cornell Rd, Portland, Oregon. You can contact this provider via phone number 5036445433 and fax number 5036335436. The mailing address for Lifesmile Dental Group is 13305 Nw Cornell Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifesmile Dental Group |
|---|---|
| Address | 13305 Nw Cornell Rd, Portland, Oregon |
| Phone Number | 5036445433 |
| Fax Number | 5036335436 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hicks Thomas |
| Credentials | DMD |
| Telephone Number | 5036445433 |
NPI Number Detail
| NPI Number | 1144416959 |
|---|---|
| Provider Enumeration Date | 2007-09-15 |
| Last Updated Date | 2007-09-15 |
Provider Mailing Address Detail
| Address | 13305 Nw Cornell Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972295817 |
| Phone Number | 5036445433 |
| Fax Number | 5036335436 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7362 |
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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. |
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What is the unique identification code assigned to Lifesmile Dental Group by the Centers for Medicare & Medicaid Services?
The Lifesmile Dental Group has been issued the NPI (National Provider Identifier) 1144416959. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lifesmile Dental Group?
The Lifesmile Dental Group is physically situated at 13305 Nw Cornell Rd, in the city of Portland, state of OR, with the postal code 972295817.
What is Lifesmile Dental Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lifesmile Dental Group is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144416959 to Lifesmile Dental Group?
The Centers for Medicare & Medicaid Services assigned the 1144416959 to Lifesmile Dental Group on 2007-09-15.
When was the information pertaining to Lifesmile Dental Group most recently updated or revised?
The details related to Lifesmile Dental Group, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-15.