Michael George Dominov in Lee - General Practice
Michael George Dominov - NPI 1619074267
Michael George Dominov is a General Practice in Lee, Massachusetts. Michael George Dominov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael George Dominov is 1619074267. The last update date is 2007-07-08.
Michael George Dominov's current location address is 17 Franklin St, Lee, Massachusetts. You can contact this provider via phone number 4132430098 and fax number 4132432663. The mailing address for Michael George Dominov is 17 Franklin St, Lee, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael George Dominov |
|---|---|
| Address | 17 Franklin St, Lee, Massachusetts |
| Phone Number | 4132430098 |
| Fax Number | 4132432663 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619074267 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 Franklin St |
|---|---|
| City | Lee |
| State | Massachusetts (MA) |
| Post Code | 12381629 |
| Phone Number | 4132430098 |
| Fax Number | 4132432663 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 16758 |
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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 identification code assigned to Michael George Dominov by the Centers for Medicare & Medicaid Services?
The Michael George Dominov has been issued the NPI (National Provider Identifier) 1619074267, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael George Dominov's facilities are situated?
The facilities of Michael George Dominov are physically located at the following address: 17 Franklin St, Lee, MA, 12381629.
What is Michael George Dominov's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael George Dominov's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Michael George Dominov receive its 1619074267 assignment from the Centers for Medicare & Medicaid Services?
The Michael George Dominov was assigned its 1619074267 on 2006-09-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael George Dominov most recently updated or revised?
The information pertaining to Michael George Dominov, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.