Professional Dental Associates Pc in Big Rapids - General Practice
Professional Dental Associates Pc - NPI 1992863401
Professional Dental Associates Pc is a General Practice in Big Rapids, Michigan. Professional Dental Associates Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Professional Dental Associates Pc is 1992863401. The last update date is 2020-08-22.
Professional Dental Associates Pc'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 Professional Dental Associates Pc is 415 South State Street, Big Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Dental Associates Pc |
|---|---|
| Address | 415 South State Street, Big Rapids, Michigan |
| Phone Number | 2317963571 |
| Fax Number | 2317962211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Mathewson Todd Kevin |
| Credentials | DDS |
| Telephone Number | 2317963571 |
NPI Number Detail
| NPI Number | 1992863401 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-08-22 |
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 | 2901019404 |
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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 |
|---|---|---|---|
| D8012370 | MI | BCBS | |
| 1883236 | MI | UNITED CONCORDIA | |
| D802980 | MI | BCBS | |
| D8012380 | MI | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Professional Dental Associates Pc by the Centers for Medicare & Medicaid Services?
The Professional Dental Associates Pc has been issued the NPI (National Provider Identifier) 1992863401. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Professional Dental Associates Pc?
The Professional Dental Associates Pc is physically situated at 415 South State Street, in the city of Big Rapids, state of MI, with the postal code 493072049.
What is Professional Dental Associates Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Professional Dental Associates Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Professional Dental Associates Pc's 1992863401 issued?
The Professional Dental Associates Pc's 1992863401 was issued on 2006-12-05.
When was the information pertaining to Professional Dental Associates Pc most recently updated or revised?
The details related to Professional Dental Associates Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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