Lake Michigan Dental Pc in Grand Rapids - Dentist
Lake Michigan Dental Pc - NPI 1164548640
Lake Michigan Dental Pc is a Dentist in Grand Rapids, Michigan. Lake Michigan Dental Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lake Michigan Dental Pc is 1164548640. The last update date is 2012-03-26.
Lake Michigan Dental Pc's current location address is 2150 Lake Michigan Drive Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164538211 and fax number 6164533277. The mailing address for Lake Michigan Dental Pc is 2150 Lake Michigan Drive Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Michigan Dental Pc |
|---|---|
| Address | 2150 Lake Michigan Drive Nw, Grand Rapids, Michigan |
| Phone Number | 6164538211 |
| Fax Number | 6164533277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Palaszek Scott Michael |
| Credentials | DDS |
| Telephone Number | 6164538211 |
NPI Number Detail
| NPI Number | 1164548640 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2012-03-26 |
Provider Mailing Address Detail
| Address | 2150 Lake Michigan Drive Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495044798 |
| Phone Number | 6164538211 |
| Fax Number | 6164533277 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 Lake Michigan Dental Pc by the Centers for Medicare & Medicaid Services?
The Lake Michigan Dental Pc has been issued the NPI (National Provider Identifier) 1164548640, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Michigan Dental Pc is physically located?
The Lake Michigan Dental Pc is physically situated at the following address: 2150 Lake Michigan Drive Nw, Grand Rapids, MI, 495044798.
What is Lake Michigan Dental Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Michigan Dental Pc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164548640 to Lake Michigan Dental Pc?
The Centers for Medicare & Medicaid Services originally issued the 1164548640 to Lake Michigan Dental Pc on 2007-03-22.
As of what date was the information regarding Lake Michigan Dental Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Michigan Dental Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-26.
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