Richard Michael Dziak in Mishawaka - Dentist
Richard Michael Dziak - NPI 1902958036
Richard Michael Dziak is a Dentist in Mishawaka, Indiana. Richard Michael Dziak practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Michael Dziak is 1902958036. The last update date is 2007-07-08.
Richard Michael Dziak's current location address is 605 W Douglas Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742772220 and fax number 5742778108. The mailing address for Richard Michael Dziak is 605 W Douglas Rd, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Michael Dziak |
|---|---|
| Address | 605 W Douglas Rd, Mishawaka, Indiana |
| Phone Number | 5742772220 |
| Fax Number | 5742778108 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902958036 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 605 W Douglas Rd |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465451438 |
| Phone Number | 5742772220 |
| Fax Number | 5742778108 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009517A |
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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 unique 10-digit identification code assigned to Richard Michael Dziak by the Centers for Medicare & Medicaid Services?
The Richard Michael Dziak has been issued the NPI (National Provider Identifier) 1902958036, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Michael Dziak?
The Richard Michael Dziak is situated at 605 W Douglas Rd, in the city of Mishawaka, state of IN, with the zip code 465451438.
What is Richard Michael Dziak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Michael Dziak is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Richard Michael Dziak receive the assignment of its 1902958036 from the Centers for Medicare & Medicaid Services?
The Richard Michael Dziak was issued its 1902958036 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details related to Richard Michael Dziak most recently updated or revised?
The information pertaining to Richard Michael Dziak, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.