Theodore Louis Degenhardt in Troy - Dentist
Theodore Louis Degenhardt - NPI 1508889924
Theodore Louis Degenhardt is a Dentist in Troy, Michigan. Theodore Louis Degenhardt practices all healthcare services and medical treatments related to Dentist. The NPI Number for Theodore Louis Degenhardt is 1508889924. The last update date is 2023-11-20.
Theodore Louis Degenhardt's current location address is 2877 Crooks Rd, Troy, Michigan. You can contact this provider via phone number 2486436551. The mailing address for Theodore Louis Degenhardt is 2877 Crooks Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Louis Degenhardt |
|---|---|
| Address | 2877 Crooks Rd, Troy, Michigan |
| Phone Number | 2486436551 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508889924 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
| Address | 2877 Crooks Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480844717 |
| Phone Number | 2486436551 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12268 |
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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 Theodore Louis Degenhardt's unique identification number?
The Theodore Louis Degenhardt has been assigned the NPI (National Provider Identifier) Number 1508889924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Theodore Louis Degenhardt's physical address?
The Theodore Louis Degenhardt is physically located at 2877 Crooks Rd, in the city of Troy, MI, with the postal code 480844717.
What is Theodore Louis Degenhardt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore Louis Degenhardt's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Theodore Louis Degenhardt receive its 1508889924?
The Theodore Louis Degenhardt was issued its 1508889924 on 2006-07-26, which is the date when the organization was assigned this unique identifier.
When was the information related to Theodore Louis Degenhardt most recently updated or refreshed?
The details pertaining to the Theodore Louis Degenhardt, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY