Mark Paul Bortolussi in Marshall - Dentist
Mark Paul Bortolussi - NPI 1639285752
Mark Paul Bortolussi is a Dentist in Marshall, Michigan. Mark Paul Bortolussi practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Paul Bortolussi is 1639285752. The last update date is 2007-07-08.
Mark Paul Bortolussi's current location address is 213 East Michigan Ave, Marshall, Michigan. You can contact this provider via phone number 2697811108 and fax number 2697819164. The mailing address for Mark Paul Bortolussi is 213 East Michigan Ave, Marshall, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Paul Bortolussi |
|---|---|
| Address | 213 East Michigan Ave, Marshall, Michigan |
| Phone Number | 2697811108 |
| Fax Number | 2697819164 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639285752 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 213 East Michigan Ave |
|---|---|
| City | Marshall |
| State | Michigan (MI) |
| Post Code | 49068 |
| Phone Number | 2697811108 |
| Fax Number | 2697819164 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901016722 |
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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 Mark Paul Bortolussi's unique identification number?
The Mark Paul Bortolussi has been assigned the NPI (National Provider Identifier) Number 1639285752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mark Paul Bortolussi's facilities are situated?
The facilities of Mark Paul Bortolussi are physically located at the following address: 213 East Michigan Ave, Marshall, MI, 49068.
What is Mark Paul Bortolussi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Paul Bortolussi is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did Mark Paul Bortolussi receive its 1639285752 assignment?
The Mark Paul Bortolussi was assigned its 1639285752 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the Mark Paul Bortolussi's information last updated?
The Mark Paul Bortolussi's information was last updated on 2007-07-08.