Rick Jerome Deroven in Walled Lake - Dentist
Rick Jerome Deroven - NPI 1982627105
Rick Jerome Deroven is a Dentist in Walled Lake, Michigan. Rick Jerome Deroven practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rick Jerome Deroven is 1982627105. The last update date is 2007-07-08.
Rick Jerome Deroven's current location address is 2340 S Commerce Rd, Walled Lake, Michigan. You can contact this provider via phone number 2486240676 and fax number 2486248951. The mailing address for Rick Jerome Deroven is 2340 S Commerce Rd, Walled Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick Jerome Deroven |
|---|---|
| Address | 2340 S Commerce Rd, Walled Lake, Michigan |
| Phone Number | 2486240676 |
| Fax Number | 2486248951 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982627105 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2340 S Commerce Rd |
|---|---|
| City | Walled Lake |
| State | Michigan (MI) |
| Post Code | 483902126 |
| Phone Number | 2486240676 |
| Fax Number | 2486248951 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11795 |
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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 unique identifier code issued to Rick Jerome Deroven by the Centers for Medicare & Medicaid Services?
The Rick Jerome Deroven has been assigned the NPI (National Provider Identifier) 1982627105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Rick Jerome Deroven is geographically located?
The Rick Jerome Deroven is physically situated at the following location: 2340 S Commerce Rd, Walled Lake, MI, 483902126.
What is Rick Jerome Deroven's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rick Jerome Deroven is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did Rick Jerome Deroven receive its 1982627105 assignment?
The Rick Jerome Deroven was assigned its 1982627105 on 2006-07-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Rick Jerome Deroven most recently updated or refreshed?
The details pertaining to the Rick Jerome Deroven, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN