Sara Kellogg Troyer in Jackson - Dentist

Sara Kellogg Troyer - NPI 1306048194

Sara Kellogg Troyer is a Dentist in Jackson, Michigan. Sara Kellogg Troyer practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sara Kellogg Troyer is 1306048194. The last update date is 2018-03-17.

Sara Kellogg Troyer's current location address is 2633 Shirley Dr, Jackson, Michigan. You can contact this provider via phone number 5177872516 and fax number 5177877734. The mailing address for Sara Kellogg Troyer is 2633 Shirley Dr, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sara Kellogg Troyer
Address 2633 Shirley Dr, Jackson, Michigan
Phone Number 5177872516
Fax Number 5177877734
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1306048194
Provider Enumeration Date 2007-06-04
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 2633 Shirley Dr
City Jackson
State Michigan (MI)
Post Code 492018633
Phone Number 5177872516
Fax Number 5177877734

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No FT1101980
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
814652714 MI TAX ID

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FAQs about Sara Kellogg Troyer

What is the unique identifier code issued to Sara Kellogg Troyer by the Centers for Medicare & Medicaid Services?

The Sara Kellogg Troyer has been assigned the NPI (National Provider Identifier) 1306048194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Sara Kellogg Troyer's facilities are situated?

The facilities of Sara Kellogg Troyer are physically located at the following address: 2633 Shirley Dr, Jackson, MI, 492018633.

What is Sara Kellogg Troyer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sara Kellogg Troyer's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date was the 1306048194 assigned to Sara Kellogg Troyer?

The Sara Kellogg Troyer was issued its 1306048194 on 2007-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sara Kellogg Troyer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sara Kellogg Troyer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.

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