Leif Edward Washer in Yalesville - Periodontics

Leif Edward Washer - NPI 1437363264

Leif Edward Washer is a Periodontics in Yalesville, Connecticut. Leif Edward Washer practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Leif Edward Washer is 1437363264. The last update date is 2007-07-08.

Leif Edward Washer's current location address is 300 Church St, Yalesville, Connecticut. You can contact this provider via phone number 2032657869 and fax number 2032657860. The mailing address for Leif Edward Washer is 300 Church St, Yalesville, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Leif Edward Washer
Address 300 Church St, Yalesville, Connecticut
Phone Number 2032657869
Fax Number 2032657860
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1437363264
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Church St
City Yalesville
State Connecticut (CT)
Post Code 64922253
Phone Number 2032657869
Fax Number 2032657860

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5203
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5203 CT CT DENTAL LICENSE

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FAQs about Leif Edward Washer

What is the unique 10-digit identifier code issued to Leif Edward Washer by the Centers for Medicare & Medicaid Services?

The Leif Edward Washer has been assigned the NPI (National Provider Identifier) 1437363264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Leif Edward Washer?

The Leif Edward Washer is situated at 300 Church St, in the city of Yalesville, state of CT, with the zip code 64922253.

What is Leif Edward Washer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Leif Edward Washer is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Leif Edward Washer receive its 1437363264 assignment from the Centers for Medicare & Medicaid Services?

The Leif Edward Washer was assigned its 1437363264 by the Centers for Medicare & Medicaid Services on 2007-05-10.

When was the information regarding Leif Edward Washer most recently updated?

The details pertaining to the Leif Edward Washer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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