Thomas Michael Dewerd in Robbinsdale - Dentist

Thomas Michael Dewerd - NPI 1316113624

Thomas Michael Dewerd is a Dentist in Robbinsdale, Minnesota. Thomas Michael Dewerd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Michael Dewerd is 1316113624. The last update date is 2008-05-06.

Thomas Michael Dewerd's current location address is 3359 W Broadway Ave, Robbinsdale, Minnesota. You can contact this provider via phone number 7635224451 and fax number 7635222464. The mailing address for Thomas Michael Dewerd is 3359 W Broadway Ave, Robbinsdale, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Michael Dewerd
Address 3359 W Broadway Ave, Robbinsdale, Minnesota
Phone Number 7635224451
Fax Number 7635222464
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1316113624
Provider Enumeration Date 2008-05-06
Last Updated Date 2008-05-06

Provider Mailing Address Detail

Address 3359 W Broadway Ave
City Robbinsdale
State Minnesota (MN)
Post Code 554222928
Phone Number 7635224451
Fax Number 7635222464

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D9357
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
982220800 MN MHCP PROVIDER NUMBER

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FAQs about Thomas Michael Dewerd

What is the unique identifier code issued to Thomas Michael Dewerd by the Centers for Medicare & Medicaid Services (CMS)?

The Thomas Michael Dewerd has been assigned the NPI (National Provider Identifier) 1316113624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Thomas Michael Dewerd?

The Thomas Michael Dewerd is physically situated at 3359 W Broadway Ave, in the city of Robbinsdale, state of MN, with the postal code 554222928.

What is Thomas Michael Dewerd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas Michael Dewerd is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316113624 to Thomas Michael Dewerd?

The Thomas Michael Dewerd received its 1316113624 assignment from the Centers for Medicare & Medicaid Services on 2008-05-06.

When was the information pertaining to Thomas Michael Dewerd most recently updated or revised?

The details related to Thomas Michael Dewerd, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-06.

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