Daniel G Lysne is a Periodontics in Fargo, North Dakota. Daniel G Lysne practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Daniel G Lysne is 1801075767. The last update date is 2007-10-29.
Daniel G Lysne's current location address is 1322 23rd St S, Fargo, North Dakota. You can contact this provider via phone number 7012323323 and fax number 7012939425. The mailing address for Daniel G Lysne is 1322 23rd St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel G Lysne |
|---|---|
| Address | 1322 23rd St S, Fargo, North Dakota |
| Phone Number | 7012323323 |
| Fax Number | 7012939425 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801075767 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 1322 23rd St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033707 |
| Phone Number | 7012323323 |
| Fax Number | 7012939425 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1638 |
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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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What is the Daniel G Lysne's unique identification number?
The Daniel G Lysne has been assigned the NPI (National Provider Identifier) Number 1801075767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Daniel G Lysne is physically located?
The Daniel G Lysne is physically situated at the following address: 1322 23Rd St S, Fargo, ND, 581033707.
What is Daniel G Lysne's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daniel G Lysne's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When did Daniel G Lysne receive its 1801075767 assignment?
The Daniel G Lysne was assigned its 1801075767 on 2007-10-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Daniel G Lysne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Daniel G Lysne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-29.