Graydon H. Coon is a Dentist in Portage, Michigan. Graydon H. Coon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Graydon H. Coon is 1417174822. The last update date is 2007-07-08.
Graydon H. Coon's current location address is 1250 E Milham Ave, Portage, Michigan. You can contact this provider via phone number 2693276100 and fax number 2693270460. The mailing address for Graydon H. Coon is 1250 E Milham Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Graydon H. Coon |
|---|---|
| Address | 1250 E Milham Ave, Portage, Michigan |
| Phone Number | 2693276100 |
| Fax Number | 2693270460 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417174822 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1250 E Milham Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490023015 |
| Phone Number | 2693276100 |
| Fax Number | 2693270460 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18493 |
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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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Post Comment/ Review Below
What is the Graydon H. Coon's 1417174822?
The Graydon H. Coon's NPI (National Provider Identifier) Number is 1417174822. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Graydon H. Coon?
The Graydon H. Coon is physically situated at 1250 E Milham Ave, in the city of Portage, state of MI, with the postal code 490023015.
What is Graydon H. Coon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Graydon H. Coon is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Graydon H. Coon receive its 1417174822 assignment from the Centers for Medicare & Medicaid Services?
The Graydon H. Coon was assigned its 1417174822 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the Graydon H. Coon's information last updated?
The Graydon H. Coon's information was last updated on 2007-07-08.