Laurie A Gormley in Las Cruces - Pediatric Dentistry
Laurie A Gormley - NPI 1518958883
Laurie A Gormley is a Pediatric Dentistry in Las Cruces, New Mexico. Laurie A Gormley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Laurie A Gormley is 1518958883. The last update date is 2007-07-09.
Laurie A Gormley's current location address is 3015 Mimosa Ln, Las Cruces, New Mexico. You can contact this provider via phone number 5055236111 and fax number 5055238123. The mailing address for Laurie A Gormley is 3015 Mimosa Ln, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie A Gormley |
|---|---|
| Address | 3015 Mimosa Ln, Las Cruces, New Mexico |
| Phone Number | 5055236111 |
| Fax Number | 5055238123 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1518958883 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3015 Mimosa Ln |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880017413 |
| Phone Number | 5055236111 |
| Fax Number | 5055238123 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DD1732 |
|
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 |
|---|---|---|---|
| 4342 | NM | -- | |
| 81595 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Laurie A Gormley by the Centers for Medicare & Medicaid Services?
The Laurie A Gormley has been assigned the NPI (National Provider Identifier) 1518958883 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Laurie A Gormley located?
The Laurie A Gormley is located at 3015 Mimosa Ln, Las Cruces, NM 880017413.
What is Laurie A Gormley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laurie A Gormley's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518958883 to Laurie A Gormley?
The Laurie A Gormley received its 1518958883 assignment from the Centers for Medicare & Medicaid Services on 2005-11-04.
As of what date was the information regarding Laurie A Gormley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laurie A Gormley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.