Michael Lee Minten is a Dentist in Columbia, Missouri. Michael Lee Minten practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Lee Minten is 1730153784. The last update date is 2023-07-21.
Michael Lee Minten's current location address is 1100 Club Village Drive, Columbia, Missouri. You can contact this provider via phone number 5734435195 and fax number 5734491269. The mailing address for Michael Lee Minten is 1100 Club Village Drive, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Lee Minten |
|---|---|
| Address | 1100 Club Village Drive, Columbia, Missouri |
| Phone Number | 5734435195 |
| Fax Number | 5734491269 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730153784 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
| Address | 1100 Club Village Drive |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652034411 |
| Phone Number | 5734435195 |
| Fax Number | 5734491269 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14811 |
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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 unique 10-digit identifier code assigned to Michael Lee Minten by the Centers for Medicare & Medicaid Services?
The Michael Lee Minten has been issued the NPI (National Provider Identifier) 1730153784 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Michael Lee Minten's physical address?
The Michael Lee Minten is physically located at 1100 Club Village Drive, in the city of Columbia, MO, with the postal code 652034411.
What is the Michael Lee Minten's specialty and taxonomy code?
The Michael Lee Minten's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Michael Lee Minten receive the assignment of its 1730153784 from the Centers for Medicare & Medicaid Services?
The Michael Lee Minten was issued its 1730153784 by the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the information pertaining to Michael Lee Minten most recently updated or revised?
The details related to Michael Lee Minten, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-21.
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