Kevin Todd Mathewson in Big Rapids - General Practice
Kevin Todd Mathewson - NPI 1912072919
Kevin Todd Mathewson is a General Practice in Big Rapids, Michigan. Kevin Todd Mathewson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Todd Mathewson is 1912072919. The last update date is 2007-07-08.
Kevin Todd Mathewson's current location address is 415 South State Street, Big Rapids, Michigan. You can contact this provider via phone number 2317963571 and fax number 2317962211. The mailing address for Kevin Todd Mathewson is 415 South State Street, Big Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Todd Mathewson |
|---|---|
| Address | 415 South State Street, Big Rapids, Michigan |
| Phone Number | 2317963571 |
| Fax Number | 2317962211 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912072919 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 South State Street |
|---|---|
| City | Big Rapids |
| State | Michigan (MI) |
| Post Code | 493072049 |
| Phone Number | 2317963571 |
| Fax Number | 2317962211 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29010-16945 |
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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 |
|---|---|---|---|
| 3317643 | MI | MEDICAID | |
| 3272864 | MI | -- | |
| D169450 | MI | BCBS | |
| 971753 | MI | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Todd Mathewson by the Centers for Medicare & Medicaid Services?
The Kevin Todd Mathewson has been assigned the NPI (National Provider Identifier) 1912072919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kevin Todd Mathewson?
The Kevin Todd Mathewson is physically situated at 415 South State Street, in the city of Big Rapids, state of MI, with the postal code 493072049.
What is Kevin Todd Mathewson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Todd Mathewson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Kevin Todd Mathewson receive its 1912072919 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Todd Mathewson was assigned its 1912072919 by the Centers for Medicare & Medicaid Services on 2006-11-22.
When was the Kevin Todd Mathewson's information last updated?
The Kevin Todd Mathewson's information was last updated on 2007-07-08.