Jan Alexandria Manning in Traverse City - Dentist
Jan Alexandria Manning - NPI 1336112036
Jan Alexandria Manning is a Dentist in Traverse City, Michigan. Jan Alexandria Manning practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jan Alexandria Manning is 1336112036. The last update date is 2007-07-08.
Jan Alexandria Manning's current location address is 862 Munson Ave, Traverse City, Michigan. You can contact this provider via phone number 2319464443. The mailing address for Jan Alexandria Manning is 862 Munson Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jan Alexandria Manning |
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Address | 862 Munson Ave, Traverse City, Michigan |
Phone Number | 2319464443 |
Fax Number | |
Sole Proprietor | X |
Credentials | DDS |
NPI Number Detail
NPI Number | 1336112036 |
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Provider Enumeration Date | 2006-02-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 862 Munson Ave |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496863602 |
Phone Number | 2319464443 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2901016887 |
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 Jan Alexandria Manning's unique identification number?
The Jan Alexandria Manning has been assigned the NPI (National Provider Identifier) Number 1336112036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jan Alexandria Manning?
The Jan Alexandria Manning is situated at 862 Munson Ave, in the city of Traverse City, state of MI, with the zip code 496863602.
What is the Jan Alexandria Manning's specialty and taxonomy code?
The Jan Alexandria Manning's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336112036 to Jan Alexandria Manning?
The Jan Alexandria Manning received its 1336112036 assignment from the Centers for Medicare & Medicaid Services on 2006-02-12.
When was the information pertaining to Jan Alexandria Manning most recently updated or revised?
The details related to Jan Alexandria Manning, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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