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DR. MARCUS STEVEN LASTIMADO D.M.D NPI 1396931499


NPI Information

NPI: 1396931499
Provider Name: DR. MARCUS STEVEN LASTIMADO, D.M.D
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
128 CHAFFEE ROAD
FORT BLISS, TX
ZIP 79906
Phone: (954) 815-5186
Get Directions

DR. Marcus Steven Lastimado, D.M.D is a general practice dentist in Fort Bliss, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Marcus Steven Lastimado, D.M.D NPI is 1396931499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

128 CHAFFEE ROAD
FORT BLISS, TX
ZIP 79906-811
Phone: (954) 815-5186

The enumeration date for this NPI number is 9/21/2007 and was last updated on 9/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice23570TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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