Craig Mirkin in Port Huron - Dental Public Health

Craig Mirkin - NPI 1003983677

Craig Mirkin is a Dental Public Health in Port Huron, Michigan. Craig Mirkin practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Craig Mirkin is 1003983677. The last update date is 2007-07-08.

Craig Mirkin's current location address is 3415 28th St, Port Huron, Michigan. You can contact this provider via phone number 8109845197 and fax number 8109852150. The mailing address for Craig Mirkin is 3415 28th St, Port Huron, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig Mirkin
Address 3415 28th St, Port Huron, Michigan
Phone Number 8109845197
Fax Number 8109852150
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1003983677
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3415 28th St
City Port Huron
State Michigan (MI)
Post Code 480606931
Phone Number 8109845197
Fax Number 8109852150

Provider's Primary Taxonomy Detail

Speciality Dental Public Health
Taxonomy 1223D0001X
Licence No 2901011180
Definition:
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4046170 MI --

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FAQs about Craig Mirkin

What is the unique 10-digit identifier code issued to Craig Mirkin by the Centers for Medicare & Medicaid Services?

The Craig Mirkin has been assigned the NPI (National Provider Identifier) 1003983677 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Craig Mirkin is located?

The Craig Mirkin is situated at the following address: 3415 28Th St, Port Huron, MI, 480606931.

What is Craig Mirkin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Craig Mirkin is Dental Public Health, and the taxonomy code that categorizes this field of expertise is 1223D0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1003983677 to Craig Mirkin?

The Centers for Medicare & Medicaid Services assigned the 1003983677 to Craig Mirkin on 2006-11-29.

When was the information regarding Craig Mirkin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Craig Mirkin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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