Mimi M. Halleck is a Dentist in Glen Allen, Virginia. Mimi M. Halleck practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mimi M. Halleck is 1992780068. The last update date is 2007-07-08.
Mimi M. Halleck's current location address is 4424 Springfield Rd, Glen Allen, Virginia. You can contact this provider via phone number 8042705353 and fax number 8042700460. The mailing address for Mimi M. Halleck is 4424 Springfield Rd, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mimi M. Halleck |
|---|---|
| Address | 4424 Springfield Rd, Glen Allen, Virginia |
| Phone Number | 8042705353 |
| Fax Number | 8042700460 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1992780068 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4424 Springfield Rd |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230603412 |
| Phone Number | 8042705353 |
| Fax Number | 8042700460 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7479 |
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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 Mimi M. Halleck's 1992780068?
The Mimi M. Halleck's NPI (National Provider Identifier) Number is 1992780068. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mimi M. Halleck?
The Mimi M. Halleck is situated at 4424 Springfield Rd, in the city of Glen Allen, state of VA, with the zip code 230603412.
What is Mimi M. Halleck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mimi M. Halleck is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Mimi M. Halleck receive its 1992780068 assignment from the Centers for Medicare & Medicaid Services?
The Mimi M. Halleck was assigned its 1992780068 by the Centers for Medicare & Medicaid Services on 2005-12-13.
When was the information related to Mimi M. Halleck most recently updated or refreshed?
The details pertaining to the Mimi M. Halleck, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.