Latisha Opal Glass in Battle Creek - Dentist

Latisha Opal Glass - NPI 1972565935

Latisha Opal Glass is a Dentist in Battle Creek, Michigan. Latisha Opal Glass practices all healthcare services and medical treatments related to Dentist. The NPI Number for Latisha Opal Glass is 1972565935. The last update date is 2015-01-15.

Latisha Opal Glass's current location address is 131 Columbia Ave E, Battle Creek, Michigan. You can contact this provider via phone number 2699639670 and fax number 2699639672. The mailing address for Latisha Opal Glass is 131 Columbia Ave E, Battle Creek, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Latisha Opal Glass
Address 131 Columbia Ave E, Battle Creek, Michigan
Phone Number 2699639670
Fax Number 2699639672
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1972565935
Provider Enumeration Date 2006-04-05
Last Updated Date 2015-01-15

Provider Mailing Address Detail

Address 131 Columbia Ave E
City Battle Creek
State Michigan (MI)
Post Code 490153788
Phone Number 2699639670
Fax Number 2699639672

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901019115
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4766214 MI --

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FAQs about Latisha Opal Glass

What is the Latisha Opal Glass's unique identification number?

The Latisha Opal Glass has been assigned the NPI (National Provider Identifier) Number 1972565935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Latisha Opal Glass is geographically located?

The Latisha Opal Glass is physically situated at the following location: 131 Columbia Ave E, Battle Creek, MI, 490153788.

What is Latisha Opal Glass's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Latisha Opal Glass is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

When did Latisha Opal Glass receive its 1972565935 assignment?

The Latisha Opal Glass was assigned its 1972565935 on 2006-04-05, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Latisha Opal Glass last refreshed?

The information related to the Latisha Opal Glass, including its address, specialty, and other relevant details, was last updated on 2015-01-15.

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