David Jerome Grachek Jr. in Southgate - Dentist
David Jerome Grachek Jr. - NPI 1265591531
David Jerome Grachek Jr. is a Dentist in Southgate, Michigan. David Jerome Grachek Jr. practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Jerome Grachek Jr. is 1265591531. The last update date is 2007-07-08.
David Jerome Grachek Jr.'s current location address is 13745 Northline Rd, Southgate, Michigan. You can contact this provider via phone number 7342849873 and fax number 7342844161. The mailing address for David Jerome Grachek Jr. is 13745 Northline Rd, Southgate, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jerome Grachek Jr. |
|---|---|
| Address | 13745 Northline Rd, Southgate, Michigan |
| Phone Number | 7342849873 |
| Fax Number | 7342844161 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1265591531 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13745 Northline Rd |
|---|---|
| City | Southgate |
| State | Michigan (MI) |
| Post Code | 481951866 |
| Phone Number | 7342849873 |
| Fax Number | 7342844161 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14866 |
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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 unique 10-digit identification code assigned to David Jerome Grachek Jr. by the Centers for Medicare & Medicaid Services?
The David Jerome Grachek Jr. has been issued the NPI (National Provider Identifier) 1265591531, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David Jerome Grachek Jr. is located?
The David Jerome Grachek Jr. is situated at the following address: 13745 Northline Rd, Southgate, MI, 481951866.
What is David Jerome Grachek Jr.'s area of expertise and its corresponding taxonomy classification?
The David Jerome Grachek Jr.'s field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1265591531 to David Jerome Grachek Jr.?
The Centers for Medicare & Medicaid Services assigned the 1265591531 to David Jerome Grachek Jr. on 2006-12-06.
When was the David Jerome Grachek Jr.'s information last updated?
The David Jerome Grachek Jr.'s information was last updated on 2007-07-08.