Ryan K Vanlaecken in Watertown - Orthodontics And Dentofacial Orthopedics
Ryan K Vanlaecken - NPI 1003009903
Ryan K Vanlaecken is a Orthodontics And Dentofacial Orthopedics in Watertown, South Dakota. Ryan K Vanlaecken practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ryan K Vanlaecken is 1003009903. The last update date is 2020-05-19.
Ryan K Vanlaecken's current location address is 25 5th St Ne, Watertown, South Dakota. You can contact this provider via phone number 6058821500 and fax number 6058827090. The mailing address for Ryan K Vanlaecken is 25 5th St Ne, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan K Vanlaecken |
|---|---|
| Address | 25 5th St Ne, Watertown, South Dakota |
| Phone Number | 6058821500 |
| Fax Number | 6058827090 |
| Sole Proprietor | Y |
| Credentials | D.D.S. M.S |
NPI Number Detail
| NPI Number | 1003009903 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 25 5th St Ne |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572013712 |
| Phone Number | 6058821500 |
| Fax Number | 6058827090 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | M817 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Ryan K Vanlaecken's unique identification number?
The Ryan K Vanlaecken has been assigned the NPI (National Provider Identifier) Number 1003009903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Ryan K Vanlaecken is located?
The Ryan K Vanlaecken is situated at the following address: 25 5Th St Ne, Watertown, SD, 572013712.
What is Ryan K Vanlaecken's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ryan K Vanlaecken's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Ryan K Vanlaecken receive its 1003009903 assignment from the Centers for Medicare & Medicaid Services?
The Ryan K Vanlaecken was assigned its 1003009903 by the Centers for Medicare & Medicaid Services on 2007-08-23.
When was the Ryan K Vanlaecken's information last updated?
The Ryan K Vanlaecken's information was last updated on 2020-05-19.
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