Michael Dieter Pellegrinon in Norcross - General Practice
Michael Dieter Pellegrinon - NPI 1174674931
Michael Dieter Pellegrinon is a General Practice in Norcross, Georgia. Michael Dieter Pellegrinon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Dieter Pellegrinon is 1174674931. The last update date is 2007-07-08.
Michael Dieter Pellegrinon's current location address is 6060 Mcdonough Drive, Norcross, Georgia. You can contact this provider via phone number 7704483030 and fax number 7704474906. The mailing address for Michael Dieter Pellegrinon is 6060 Mcdonough Drive, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dieter Pellegrinon |
|---|---|
| Address | 6060 Mcdonough Drive, Norcross, Georgia |
| Phone Number | 7704483030 |
| Fax Number | 7704474906 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174674931 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6060 Mcdonough Drive |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 30093 |
| Phone Number | 7704483030 |
| Fax Number | 7704474906 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN10733 |
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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 10-digit identifier code issued to Michael Dieter Pellegrinon by the Centers for Medicare & Medicaid Services?
The Michael Dieter Pellegrinon has been assigned the NPI (National Provider Identifier) 1174674931 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 physical location address of Michael Dieter Pellegrinon?
The Michael Dieter Pellegrinon is physically situated at 6060 Mcdonough Drive, in the city of Norcross, state of GA, with the postal code 30093.
What is the area of specialization for Michael Dieter Pellegrinon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Dieter Pellegrinon is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174674931 to Michael Dieter Pellegrinon?
The Centers for Medicare & Medicaid Services originally issued the 1174674931 to Michael Dieter Pellegrinon on 2007-01-16.
As of what date was the information regarding Michael Dieter Pellegrinon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Dieter Pellegrinon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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