Jacob Colbert Lueder in Coopersville - Periodontics
Jacob Colbert Lueder - NPI 1952591109
Jacob Colbert Lueder is a Periodontics in Coopersville, Michigan. Jacob Colbert Lueder practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jacob Colbert Lueder is 1952591109. The last update date is 2009-01-08.
Jacob Colbert Lueder's current location address is 706 W Randall St, Coopersville, Michigan. You can contact this provider via phone number 6168377604 and fax number 6168376549. The mailing address for Jacob Colbert Lueder is 706 W Randall St, Coopersville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Colbert Lueder |
|---|---|
| Address | 706 W Randall St, Coopersville, Michigan |
| Phone Number | 6168377604 |
| Fax Number | 6168376549 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1952591109 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2009-01-08 |
Provider Mailing Address Detail
| Address | 706 W Randall St |
|---|---|
| City | Coopersville |
| State | Michigan (MI) |
| Post Code | 494041308 |
| Phone Number | 6168377604 |
| Fax Number | 6168376549 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2901018860 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacob Colbert Lueder by the Centers for Medicare & Medicaid Services?
The Jacob Colbert Lueder has been assigned the NPI (National Provider Identifier) 1952591109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jacob Colbert Lueder's physical address?
The Jacob Colbert Lueder is physically located at 706 W Randall St, in the city of Coopersville, MI, with the postal code 494041308.
What is the area of specialization for Jacob Colbert Lueder, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacob Colbert Lueder is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
When did Jacob Colbert Lueder receive its 1952591109 assignment?
The Jacob Colbert Lueder was assigned its 1952591109 on 2007-07-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jacob Colbert Lueder most recently updated or revised?
The information pertaining to Jacob Colbert Lueder, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-08.