Gary W. Mancewicz is a Dentist in Kentwood, . Gary W. Mancewicz practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary W. Mancewicz is 1801966767. The last update date is 2007-07-08.
Gary W. Mancewicz's current location address is 2351 Countrywood Dr. Se, Kentwood, . You can contact this provider via phone number 6164553020 and fax number 6164551397. The mailing address for Gary W. Mancewicz is 2351 Countrywood Dr. Se, Kentwood, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary W. Mancewicz |
|---|---|
| Address | 2351 Countrywood Dr. Se, Kentwood, |
| Phone Number | 6164553020 |
| Fax Number | 6164551397 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1801966767 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2351 Countrywood Dr. Se |
|---|---|
| City | Kentwood |
| State | (FM) |
| Post Code | 49508 |
| Phone Number | 6164553020 |
| Fax Number | 6164551397 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 29-01-011327 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4828774 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary W. Mancewicz by the Centers for Medicare & Medicaid Services?
The Gary W. Mancewicz has been assigned the NPI (National Provider Identifier) 1801966767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Gary W. Mancewicz's facilities are geographically located?
The facilities of Gary W. Mancewicz are physically situated at the following location: 2351 Countrywood Dr. Se, Kentwood, FM, 49508.
What is Gary W. Mancewicz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary W. Mancewicz is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did the Gary W. Mancewicz receive its 1801966767?
The Gary W. Mancewicz was issued its 1801966767 on 2006-11-08, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gary W. Mancewicz most recently updated or revised?
The details related to Gary W. Mancewicz, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.