Anthony Lavacca in Naperville - Prosthodontics
Anthony Lavacca - NPI 1952511602
Anthony Lavacca is a Prosthodontics in Naperville, Illinois. Anthony Lavacca practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Anthony Lavacca is 1952511602. The last update date is 2007-07-08.
Anthony Lavacca's current location address is 55 S Main St, Naperville, Illinois. You can contact this provider via phone number 3122466683 and fax number 3122363257. The mailing address for Anthony Lavacca is 55 S Main St, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Lavacca |
|---|---|
| Address | 55 S Main St, Naperville, Illinois |
| Phone Number | 3122466683 |
| Fax Number | 3122363257 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1952511602 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 S Main St |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605405372 |
| Phone Number | 3122466683 |
| Fax Number | 3122363257 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique identifier code issued to Anthony Lavacca by the Centers for Medicare & Medicaid Services (CMS)?
The Anthony Lavacca has been assigned the NPI (National Provider Identifier) 1952511602. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Anthony Lavacca's physical address?
The Anthony Lavacca is physically located at 55 S Main St, in the city of Naperville, IL, with the postal code 605405372.
What is Anthony Lavacca's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Anthony Lavacca is Prosthodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952511602 to Anthony Lavacca?
The Centers for Medicare & Medicaid Services assigned the 1952511602 to Anthony Lavacca on 2007-05-23.
As of what date was the information regarding Anthony Lavacca, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Anthony Lavacca, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.