Edward A Longwe in Chantilly - Oral And Maxillofacial Surgery
Edward A Longwe - NPI 1689886640
Edward A Longwe is a Oral And Maxillofacial Surgery in Chantilly, Virginia. Edward A Longwe practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Edward A Longwe is 1689886640. The last update date is 2012-08-29.
Edward A Longwe's current location address is 24805 Pinebrook Rd, Chantilly, Virginia. You can contact this provider via phone number 7033270955. The mailing address for Edward A Longwe is 24805 Pinebrook Rd, Chantilly, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward A Longwe |
|---|---|
| Address | 24805 Pinebrook Rd, Chantilly, Virginia |
| Phone Number | 7033270955 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689886640 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2012-08-29 |
Provider Mailing Address Detail
| Address | 24805 Pinebrook Rd |
|---|---|
| City | Chantilly |
| State | Virginia (VA) |
| Post Code | 201524126 |
| Phone Number | 7033270955 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DEN1000625 |
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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 |
|---|---|---|---|
| 87875822 | TN | DRIVER LICENSE |
Post Comment/ Review Below
What is the Edward A Longwe's unique identification number?
The Edward A Longwe has been assigned the NPI (National Provider Identifier) Number 1689886640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Edward A Longwe is geographically located?
The Edward A Longwe is physically situated at the following location: 24805 Pinebrook Rd, Chantilly, VA, 201524126.
What is Edward A Longwe's area of expertise and its corresponding taxonomy classification?
The Edward A Longwe's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689886640 to Edward A Longwe?
The Centers for Medicare & Medicaid Services originally issued the 1689886640 to Edward A Longwe on 2007-05-04.
As of what date was the information pertaining to Edward A Longwe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward A Longwe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-29.