Lisa G Marin in Augusta - Oral And Maxillofacial Surgery
Lisa G Marin - NPI 1578659967
Lisa G Marin is a Oral And Maxillofacial Surgery in Augusta, Georgia. Lisa G Marin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lisa G Marin is 1578659967. The last update date is 2023-04-19.
Lisa G Marin's current location address is 1430 John Wesley Gilbert Drive, Augusta, Georgia. You can contact this provider via phone number 7067219744 and fax number 7067216778. The mailing address for Lisa G Marin is 1430 John Wesley Gilbert Drive, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa G Marin |
|---|---|
| Address | 1430 John Wesley Gilbert Drive, Augusta, Georgia |
| Phone Number | 7067219744 |
| Fax Number | 7067216778 |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1578659967 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2023-04-19 |
Provider Mailing Address Detail
| Address | 1430 John Wesley Gilbert Drive |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120001 |
| Phone Number | 7067219744 |
| Fax Number | 7067216778 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 46876 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2530936 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa G Marin by the Centers for Medicare & Medicaid Services?
The Lisa G Marin has been issued the NPI (National Provider Identifier) 1578659967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lisa G Marin's physical address?
The Lisa G Marin is physically located at 1430 John Wesley Gilbert Drive, in the city of Augusta, GA, with the postal code 309120001.
What is Lisa G Marin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa G Marin's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578659967 to Lisa G Marin?
The Centers for Medicare & Medicaid Services originally issued the 1578659967 to Lisa G Marin on 2006-10-05.
As of what date was the information pertaining to Lisa G Marin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa G Marin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-19.