Richard Earl Martzke in Grand Ledge - Dentist

Richard Earl Martzke - NPI 1508904004

Richard Earl Martzke is a Dentist in Grand Ledge, Michigan. Richard Earl Martzke practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Earl Martzke is 1508904004. The last update date is 2007-07-08.

Richard Earl Martzke's current location address is 311 Harrison St, Grand Ledge, Michigan. You can contact this provider via phone number 5176272422 and fax number 5176277549. The mailing address for Richard Earl Martzke is 311 Harrison St, Grand Ledge, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Earl Martzke
Address 311 Harrison St, Grand Ledge, Michigan
Phone Number 5176272422
Fax Number 5176277549
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1508904004
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 311 Harrison St
City Grand Ledge
State Michigan (MI)
Post Code 488371532
Phone Number 5176272422
Fax Number 5176277549

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901010346
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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FAQs about Richard Earl Martzke

What is the unique identifier code issued to Richard Earl Martzke by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Earl Martzke has been assigned the NPI (National Provider Identifier) 1508904004. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Richard Earl Martzke?

The Richard Earl Martzke is situated at 311 Harrison St, in the city of Grand Ledge, state of MI, with the zip code 488371532.

What is Richard Earl Martzke's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Earl Martzke's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Richard Earl Martzke receive its 1508904004 assignment from the Centers for Medicare & Medicaid Services?

The Richard Earl Martzke was assigned its 1508904004 by the Centers for Medicare & Medicaid Services on 2007-02-05.

As of what date were the details pertaining to Richard Earl Martzke last refreshed?

The information related to the Richard Earl Martzke, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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