Michael Shawn Donoghue in Great Lakes - Dentist
Michael Shawn Donoghue - NPI 1225291735
Michael Shawn Donoghue is a Dentist in Great Lakes, Illinois. Michael Shawn Donoghue practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Shawn Donoghue is 1225291735. The last update date is 2008-07-03.
Michael Shawn Donoghue's current location address is 3001a Sixth St Building 1017, Great Lakes, Illinois. You can contact this provider via phone number 8476882100. The mailing address for Michael Shawn Donoghue is 3001a Sixth St Building 1017, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shawn Donoghue |
|---|---|
| Address | 3001a Sixth St Building 1017, Great Lakes, Illinois |
| Phone Number | 8476882100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225291735 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 3001a Sixth St Building 1017 |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600885230 |
| Phone Number | 8476882100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19027627 |
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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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What is the Michael Shawn Donoghue's unique identification number?
The Michael Shawn Donoghue has been assigned the NPI (National Provider Identifier) Number 1225291735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Michael Shawn Donoghue's physical address?
The Michael Shawn Donoghue is physically located at 3001A Sixth St Building 1017, in the city of Great Lakes, IL, with the postal code 600885230.
What is Michael Shawn Donoghue's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Shawn Donoghue's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1225291735 assigned to Michael Shawn Donoghue?
The Michael Shawn Donoghue was issued its 1225291735 on 2008-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael Shawn Donoghue most recently updated or revised?
The details related to Michael Shawn Donoghue, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-03.