Richard Somerlott in Clinton Twp - Endodontics
Richard Somerlott - NPI 1265472294
Richard Somerlott is a Endodontics in Clinton Twp, Michigan. Richard Somerlott practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Richard Somerlott is 1265472294. The last update date is 2007-07-08.
Richard Somerlott's current location address is 15870 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862863390 and fax number 5862860287. The mailing address for Richard Somerlott is 15870 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Somerlott |
|---|---|
| Address | 15870 19 Mile Rd, Clinton Twp, Michigan |
| Phone Number | 5862863390 |
| Fax Number | 5862860287 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1265472294 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15870 19 Mile Rd |
|---|---|
| City | Clinton Twp |
| State | Michigan (MI) |
| Post Code | 480383527 |
| Phone Number | 5862863390 |
| Fax Number | 5862860287 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 9863 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Richard Somerlott by the Centers for Medicare & Medicaid Services?
The Richard Somerlott has been assigned the NPI (National Provider Identifier) 1265472294 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard Somerlott is physically located?
The Richard Somerlott is physically situated at the following address: 15870 19 Mile Rd, Clinton Twp, MI, 480383527.
What is the Richard Somerlott's area of specialization and corresponding taxonomy classification?
The Richard Somerlott's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1265472294 to Richard Somerlott?
The Centers for Medicare & Medicaid Services assigned the 1265472294 to Richard Somerlott on 2006-06-07.
As of what date were the Richard Somerlott's details last updated?
The information pertaining to the Richard Somerlott, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY