Russell Aron Lieblick in Gresham - Oral And Maxillofacial Surgery

Russell Aron Lieblick - NPI 1407856156

Russell Aron Lieblick is a Oral And Maxillofacial Surgery in Gresham, Oregon. Russell Aron Lieblick practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Russell Aron Lieblick is 1407856156. The last update date is 2007-07-08.

Russell Aron Lieblick's current location address is 24850 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5036657882 and fax number 5036656983. The mailing address for Russell Aron Lieblick is 24850 Se Stark St, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Aron Lieblick
Address 24850 Se Stark St, Gresham, Oregon
Phone Number 5036657882
Fax Number 5036656983
Sole Proprietor X
Credentials DMD

NPI Number Detail

NPI Number 1407856156
Provider Enumeration Date 2005-07-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 24850 Se Stark St
City Gresham
State Oregon (OR)
Post Code 970308316
Phone Number 5036657882
Fax Number 5036656983

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D8342
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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FAQs about Russell Aron Lieblick

What is the unique identification code assigned to Russell Aron Lieblick by the Centers for Medicare & Medicaid Services?

The Russell Aron Lieblick has been issued the NPI (National Provider Identifier) 1407856156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Russell Aron Lieblick?

The Russell Aron Lieblick is physically situated at 24850 Se Stark St, in the city of Gresham, state of OR, with the postal code 970308316.

What is Russell Aron Lieblick'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 Russell Aron Lieblick is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407856156 to Russell Aron Lieblick?

The Centers for Medicare & Medicaid Services originally issued the 1407856156 to Russell Aron Lieblick on 2005-07-22.

As of what date was the information pertaining to Russell Aron Lieblick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Russell Aron Lieblick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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