Thomas Kallal is a Dentist in Baraga, Michigan. Thomas Kallal practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Kallal is 1750576690. The last update date is 2007-09-13.
Thomas Kallal's current location address is 13924 Wadaga Rd, Baraga, Michigan. You can contact this provider via phone number 9063537070. The mailing address for Thomas Kallal is 13924 Wadaga Rd, Baraga, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Kallal |
|---|---|
| Address | 13924 Wadaga Rd, Baraga, Michigan |
| Phone Number | 9063537070 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750576690 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 13924 Wadaga Rd |
|---|---|
| City | Baraga |
| State | Michigan (MI) |
| Post Code | 499089204 |
| Phone Number | 9063537070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901012015 |
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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 provider identifier assigned to Thomas Kallal?
The Thomas Kallal has been issued the NPI (National Provider Identifier) 1750576690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Thomas Kallal located?
The Thomas Kallal is located at 13924 Wadaga Rd, Baraga, MI 499089204.
What is Thomas Kallal's area of expertise and its corresponding taxonomy classification?
The Thomas Kallal's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Thomas Kallal receive its 1750576690 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Kallal was assigned its 1750576690 by the Centers for Medicare & Medicaid Services on 2007-09-13.
As of what date were the details pertaining to Thomas Kallal last refreshed?
The information related to the Thomas Kallal, including its address, specialty, and other relevant details, was last updated on 2007-09-13.
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