Douglas A Bleyenburg Dds Pc in Holland - Dentist

Douglas A Bleyenburg Dds Pc - NPI 1083624662

Douglas A Bleyenburg Dds Pc is a Dentist in Holland, Michigan. Douglas A Bleyenburg Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas A Bleyenburg Dds Pc is 1083624662. The last update date is 2020-08-22.

Douglas A Bleyenburg Dds Pc's current location address is 170 College Ave, Holland, Michigan. You can contact this provider via phone number 6163922302 and fax number 6163929060. The mailing address for Douglas A Bleyenburg Dds Pc is 170 College Ave, Holland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Douglas A Bleyenburg Dds Pc
Address 170 College Ave, Holland, Michigan
Phone Number 6163922302
Fax Number 6163929060
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bleyenburg A Douglas
Credentials DDS
Telephone Number 6163922302

NPI Number Detail

NPI Number 1083624662
Provider Enumeration Date 2006-08-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 170 College Ave
City Holland
State Michigan (MI)
Post Code 49423
Phone Number 6163922302
Fax Number 6163929060

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 16773
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 Douglas A Bleyenburg Dds Pc

What is the unique identification code assigned to Douglas A Bleyenburg Dds Pc by the Centers for Medicare & Medicaid Services?

The Douglas A Bleyenburg Dds Pc has been issued the NPI (National Provider Identifier) 1083624662. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Douglas A Bleyenburg Dds Pc's facilities are situated?

The facilities of Douglas A Bleyenburg Dds Pc are physically located at the following address: 170 College Ave, Holland, MI, 49423.

What is the Douglas A Bleyenburg Dds Pc's specialty and taxonomy code?

The Douglas A Bleyenburg Dds Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Douglas A Bleyenburg Dds Pc receive the assignment of its 1083624662 from the Centers for Medicare & Medicaid Services?

The Douglas A Bleyenburg Dds Pc was issued its 1083624662 by the Centers for Medicare & Medicaid Services on 2006-08-08.

When was the information regarding Douglas A Bleyenburg Dds Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas A Bleyenburg Dds Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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