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
City Manistee
State Michigan (MI)
Post Code 496601171
Phone Number 2485059132
Fax Number 2313989304

Provider's Primary Taxonomy Detail

Speciality Dentist
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 --

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FAQs about Scott Russell Gilliland

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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