Liberty Corners Dental Pllc in Temperance - Dentist
Liberty Corners Dental Pllc - NPI 1699938589
Liberty Corners Dental Pllc is a Dentist in Temperance, Michigan. Liberty Corners Dental Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Liberty Corners Dental Pllc is 1699938589. The last update date is 2008-07-09.
Liberty Corners Dental Pllc's current location address is 7298 Jackman Rd, Temperance, Michigan. You can contact this provider via phone number 7348476350. The mailing address for Liberty Corners Dental Pllc is 7298 Jackman Rd, Temperance, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Corners Dental Pllc |
|---|---|
| Address | 7298 Jackman Rd, Temperance, Michigan |
| Phone Number | 7348476350 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Mizelle Larry |
| Telephone Number | 7348476350 |
NPI Number Detail
| NPI Number | 1699938589 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 7298 Jackman Rd |
|---|---|
| City | Temperance |
| State | Michigan (MI) |
| Post Code | 481821313 |
| Phone Number | 7348476350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901010910 |
|
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 |
|---|---|---|---|
| 2901010910 | MI | STATE LICENSE |
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What is the Liberty Corners Dental Pllc's 1699938589?
The Liberty Corners Dental Pllc's NPI (National Provider Identifier) Number is 1699938589. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Liberty Corners Dental Pllc located?
The Liberty Corners Dental Pllc is located at 7298 Jackman Rd, Temperance, MI 481821313.
What is Liberty Corners Dental Pllc's area of expertise and its corresponding taxonomy classification?
The Liberty Corners Dental Pllc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Liberty Corners Dental Pllc receive its 1699938589?
The Liberty Corners Dental Pllc was issued its 1699938589 on 2008-07-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Liberty Corners Dental Pllc's details last updated?
The information pertaining to the Liberty Corners Dental Pllc, including its address, specialty, and other details, was most recently updated on 2008-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY