Tracy Elaine Blount in Grand Rapids - Dentist

Tracy Elaine Blount - NPI 1326145046

Tracy Elaine Blount is a Dentist in Grand Rapids, Michigan. Tracy Elaine Blount practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tracy Elaine Blount is 1326145046. The last update date is 2007-07-08.

Tracy Elaine Blount's current location address is 1014 Franklin St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164520400 and fax number 6162433728. The mailing address for Tracy Elaine Blount is 1014 Franklin St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Elaine Blount
Address 1014 Franklin St Se, Grand Rapids, Michigan
Phone Number 6164520400
Fax Number 6162433728
Sole Proprietor N
Credentials D.D.S

NPI Number Detail

NPI Number 1326145046
Provider Enumeration Date 2006-09-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1014 Franklin St Se
City Grand Rapids
State Michigan (MI)
Post Code 495071327
Phone Number 6164520400
Fax Number 6162433728

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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
2759918 MI --

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FAQs about Tracy Elaine Blount

What is the unique 10-digit identification code issued to Tracy Elaine Blount by the Centers for Medicare & Medicaid Services?

The Tracy Elaine Blount has been assigned the NPI (National Provider Identifier) 1326145046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Tracy Elaine Blount is physically located?

The Tracy Elaine Blount is situated at the following address: 1014 Franklin St Se, Grand Rapids, MI 495071327.

What is Tracy Elaine Blount's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracy Elaine Blount is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1326145046 to Tracy Elaine Blount?

The Tracy Elaine Blount received its 1326145046 assignment from the Centers for Medicare & Medicaid Services on 2006-09-17.

As of what date were the Tracy Elaine Blount's details last updated?

The information pertaining to the Tracy Elaine Blount, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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