Dwight J Monsma Dds Pc in Grand Rapids - Dentist
Dwight J Monsma Dds Pc - NPI 1972679504
Dwight J Monsma Dds Pc is a Dentist in Grand Rapids, Michigan. Dwight J Monsma Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dwight J Monsma Dds Pc is 1972679504. The last update date is 2020-08-22.
Dwight J Monsma Dds Pc's current location address is 3521 Lake Eastbrook Blvd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169429891 and fax number 6169429894. The mailing address for Dwight J Monsma Dds Pc is 3521 Lake Eastbrook Blvd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dwight J Monsma Dds Pc |
|---|---|
| Address | 3521 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Phone Number | 6169429891 |
| Fax Number | 6169429894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS A |
|---|---|
| Authorized Official Name | Ostrowski Barbara Ewa |
| Telephone Number | 6169429891 |
NPI Number Detail
| NPI Number | 1972679504 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3521 Lake Eastbrook Blvd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6169429891 |
| Fax Number | 6169429894 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901008106 |
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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 |
|---|---|---|---|
| 4063994 | MI | -- |
Post Comment/ Review Below
What is the Dwight J Monsma Dds Pc's unique identification number?
The Dwight J Monsma Dds Pc has been assigned the NPI (National Provider Identifier) Number 1972679504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dwight J Monsma Dds Pc's physical address?
The Dwight J Monsma Dds Pc is physically located at 3521 Lake Eastbrook Blvd Se, in the city of Grand Rapids, MI, with the postal code 49546.
What is the Dwight J Monsma Dds Pc's area of specialization and corresponding taxonomy classification?
The Dwight J Monsma Dds Pc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1972679504 assigned to Dwight J Monsma Dds Pc?
The Dwight J Monsma Dds Pc was issued its 1972679504 on 2006-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dwight J Monsma Dds Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dwight J Monsma Dds Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.