Lindsey R Douglas in Yakima - Oral And Maxillofacial Surgery
Lindsey R Douglas - NPI 1083798649
Lindsey R Douglas is a Oral And Maxillofacial Surgery in Yakima, Washington. Lindsey R Douglas practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lindsey R Douglas is 1083798649. The last update date is 2007-07-08.
Lindsey R Douglas's current location address is 4207 Tieton Dr, Yakima, Washington. You can contact this provider via phone number 5099658911 and fax number 5099656143. The mailing address for Lindsey R Douglas is 4207 Tieton Dr, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lindsey R Douglas |
|---|---|
| Address | 4207 Tieton Dr, Yakima, Washington |
| Phone Number | 5099658911 |
| Fax Number | 5099656143 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1083798649 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4207 Tieton Dr |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083347 |
| Phone Number | 5099658911 |
| Fax Number | 5099656143 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 9059 |
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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 |
|---|---|---|---|
| 5036942 | WA | -- |
Post Comment/ Review Below
What is the Lindsey R Douglas's 1083798649?
The Lindsey R Douglas's NPI (National Provider Identifier) Number is 1083798649. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lindsey R Douglas?
The Lindsey R Douglas is physically situated at 4207 Tieton Dr, in the city of Yakima, state of WA, with the postal code 989083347.
What is Lindsey R Douglas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lindsey R Douglas'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 issue the 1083798649 to Lindsey R Douglas?
The Lindsey R Douglas received its 1083798649 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the information related to Lindsey R Douglas most recently updated or refreshed?
The details pertaining to the Lindsey R Douglas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.