Scott Russell Gilliland in Manistee - Dentist
Scott Russell Gilliland - NPI 1578698031
Scott Russell Gilliland is a Dentist in Manistee, Michigan. Scott Russell Gilliland practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scott Russell Gilliland is 1578698031. The last update date is 2007-07-08.
Scott Russell Gilliland's current location address is 24 Caberfae Hwy Lot 8, Manistee, Michigan. You can contact this provider via phone number 2485059132 and fax number 2313989304. The mailing address for Scott Russell Gilliland is 24 Caberfae Hwy Lot 8, Manistee, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Scott Russell Gilliland |
---|---|
Address | 24 Caberfae Hwy Lot 8, Manistee, Michigan |
Phone Number | 2485059132 |
Fax Number | 2313989304 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1578698031 |
---|---|
Provider Enumeration Date | 2007-02-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 24 Caberfae Hwy Lot 8 |
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City | Manistee |
State | Michigan (MI) |
Post Code | 496601171 |
Phone Number | 2485059132 |
Fax Number | 2313989304 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2901017529 |
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 |
---|---|---|---|
4798960 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Scott Russell Gilliland by the Centers for Medicare & Medicaid Services?
The Scott Russell Gilliland has been issued the NPI (National Provider Identifier) 1578698031. 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 address where Scott Russell Gilliland is geographically located?
The Scott Russell Gilliland is physically situated at the following location: 24 Caberfae Hwy Lot 8, Manistee, MI, 496601171.
What is the Scott Russell Gilliland's specialty and taxonomy code?
The Scott Russell Gilliland's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578698031 to Scott Russell Gilliland?
The Centers for Medicare & Medicaid Services assigned the 1578698031 to Scott Russell Gilliland on 2007-02-23.
When was the information regarding Scott Russell Gilliland, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scott Russell Gilliland, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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