Todd L Lackey in Huntsville - Pediatric Dentistry
Todd L Lackey - NPI 1467557199
Todd L Lackey is a Pediatric Dentistry in Huntsville, Alabama. Todd L Lackey practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Todd L Lackey is 1467557199. The last update date is 2007-07-08.
Todd L Lackey's current location address is 4001 Balmoral Dr Sw, Huntsville, Alabama. You can contact this provider via phone number 2565397447 and fax number 2565341233. The mailing address for Todd L Lackey is 4001 Balmoral Dr Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd L Lackey |
|---|---|
| Address | 4001 Balmoral Dr Sw, Huntsville, Alabama |
| Phone Number | 2565397447 |
| Fax Number | 2565341233 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1467557199 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4001 Balmoral Dr Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358016403 |
| Phone Number | 2565397447 |
| Fax Number | 2565341233 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4855 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51092706 | AL | BC/BS ALABAMA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Todd L Lackey?
The Todd L Lackey has been issued the NPI (National Provider Identifier) 1467557199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Todd L Lackey?
The Todd L Lackey is situated at 4001 Balmoral Dr Sw, in the city of Huntsville, state of AL, with the zip code 358016403.
What is Todd L Lackey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Todd L Lackey is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467557199 to Todd L Lackey?
The Todd L Lackey received its 1467557199 assignment from the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date was the information pertaining to Todd L Lackey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Todd L Lackey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.