Michael John Mack in Cos Cob - General Practice
Michael John Mack - NPI 1508952375
Michael John Mack is a General Practice in Cos Cob, Connecticut. Michael John Mack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael John Mack is 1508952375. The last update date is 2007-07-08.
Michael John Mack's current location address is 40 E. Putnam Ave., Cos Cob, Connecticut. You can contact this provider via phone number 2036612279 and fax number 2038692261. The mailing address for Michael John Mack is 40 E. Putnam Ave., Cos Cob, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Mack |
|---|---|
| Address | 40 E. Putnam Ave., Cos Cob, Connecticut |
| Phone Number | 2036612279 |
| Fax Number | 2038692261 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508952375 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 E. Putnam Ave. |
|---|---|
| City | Cos Cob |
| State | Connecticut (CT) |
| Post Code | 6807 |
| Phone Number | 2036612279 |
| Fax Number | 2038692261 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5247 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Michael John Mack?
The Michael John Mack has been issued the NPI (National Provider Identifier) 1508952375 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Michael John Mack's physical address?
The Michael John Mack is physically located at 40 E. Putnam Ave., in the city of Cos Cob, CT, with the postal code 6807.
What is the Michael John Mack's specialty and taxonomy code?
The Michael John Mack's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Michael John Mack receive the assignment of its 1508952375 from the Centers for Medicare & Medicaid Services?
The Michael John Mack was issued its 1508952375 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details pertaining to Michael John Mack last refreshed?
The information related to the Michael John Mack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.