Jada Johnson Speller in Farmington Hills - Dentist
Jada Johnson Speller - NPI 1376567891
Jada Johnson Speller is a Dentist in Farmington Hills, Michigan. Jada Johnson Speller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jada Johnson Speller is 1376567891. The last update date is 2007-07-08.
Jada Johnson Speller's current location address is 25882 Orchard Lake Rd, Farmington Hills, Michigan. You can contact this provider via phone number 8888338441 and fax number 8883304331. The mailing address for Jada Johnson Speller is 25882 Orchard Lake Rd, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jada Johnson Speller |
|---|---|
| Address | 25882 Orchard Lake Rd, Farmington Hills, Michigan |
| Phone Number | 8888338441 |
| Fax Number | 8883304331 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376567891 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25882 Orchard Lake Rd |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483361292 |
| Phone Number | 8888338441 |
| Fax Number | 8883304331 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-023542 |
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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 |
|---|---|---|---|
| 103180 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jada Johnson Speller by the Centers for Medicare & Medicaid Services?
The Jada Johnson Speller has been assigned the NPI (National Provider Identifier) 1376567891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jada Johnson Speller is located?
The Jada Johnson Speller is situated at the following address: 25882 Orchard Lake Rd, Farmington Hills, MI, 483361292.
What is the Jada Johnson Speller's specialty and taxonomy code?
The Jada Johnson Speller's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Jada Johnson Speller receive its 1376567891 assignment?
The Jada Johnson Speller was assigned its 1376567891 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Jada Johnson Speller most recently updated or refreshed?
The details pertaining to the Jada Johnson Speller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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