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 |
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Address | 24850 Se Stark St, Gresham, Oregon |
Phone Number | 5036657882 |
Fax Number | 5036656983 |
Sole Proprietor | X |
Credentials | DMD |
NPI Number Detail
NPI Number | 1407856156 |
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Provider Enumeration Date | 2005-07-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 24850 Se Stark St |
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City | Gresham |
State | Oregon (OR) |
Post Code | 970308316 |
Phone Number | 5036657882 |
Fax Number | 5036656983 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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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. |
Post Comment/ Review Below
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.