Michael R. Groen is a Dentist in Lynden, Washington. Michael R. Groen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael R. Groen is 1225107956. The last update date is 2007-07-08.
Michael R. Groen's current location address is 506 Grover St, Lynden, Washington. You can contact this provider via phone number 3603546036 and fax number 3603545586. The mailing address for Michael R. Groen is 506 Grover St, Lynden, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R. Groen |
|---|---|
| Address | 506 Grover St, Lynden, Washington |
| Phone Number | 3603546036 |
| Fax Number | 3603545586 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225107956 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 506 Grover St |
|---|---|
| City | Lynden |
| State | Washington (WA) |
| Post Code | 982641960 |
| Phone Number | 3603546036 |
| Fax Number | 3603545586 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5575 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5078001 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael R. Groen by the Centers for Medicare & Medicaid Services?
The Michael R. Groen has been issued the NPI (National Provider Identifier) 1225107956 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael R. Groen is geographically located?
The Michael R. Groen is physically situated at the following location: 506 Grover St, Lynden, WA, 982641960.
What is Michael R. Groen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael R. Groen is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225107956 to Michael R. Groen?
The Centers for Medicare & Medicaid Services originally issued the 1225107956 to Michael R. Groen on 2006-11-07.
When was the information regarding Michael R. Groen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael R. Groen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.