Walter A Grage Dds Pc in Decatur - General Practice
Walter A Grage Dds Pc - NPI 1538255971
Walter A Grage Dds Pc is a General Practice in Decatur, Georgia. Walter A Grage Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Walter A Grage Dds Pc is 1538255971. The last update date is 2020-08-22.
Walter A Grage Dds Pc's current location address is 4324 Covington Hwy, Decatur, Georgia. You can contact this provider via phone number 4042896454 and fax number 4042892570. The mailing address for Walter A Grage Dds Pc is 4324 Covington Hwy, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walter A Grage Dds Pc |
|---|---|
| Address | 4324 Covington Hwy, Decatur, Georgia |
| Phone Number | 4042896454 |
| Fax Number | 4042892570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grage A Walter |
| Credentials | DDS |
| Telephone Number | 4042896454 |
NPI Number Detail
| NPI Number | 1538255971 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4324 Covington Hwy |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 30035 |
| Phone Number | 4042896454 |
| Fax Number | 4042892570 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6216 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00046175B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Walter A Grage Dds Pc by the Centers for Medicare & Medicaid Services?
The Walter A Grage Dds Pc has been assigned the NPI (National Provider Identifier) 1538255971 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Walter A Grage Dds Pc's facilities are situated?
The facilities of Walter A Grage Dds Pc are physically located at the following address: 4324 Covington Hwy, Decatur, GA, 30035.
What is Walter A Grage Dds Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walter A Grage Dds Pc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538255971 to Walter A Grage Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1538255971 to Walter A Grage Dds Pc on 2006-10-05.
As of what date was the information pertaining to Walter A Grage Dds Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Walter A Grage Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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