Shadows Oye Bedell in Detroit - General Practice
Shadows Oye Bedell - NPI 1083663702
Shadows Oye Bedell is a General Practice in Detroit, Michigan. Shadows Oye Bedell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shadows Oye Bedell is 1083663702. The last update date is 2007-07-09.
Shadows Oye Bedell's current location address is 19600 Van Dyke Street, Detroit, Michigan. You can contact this provider via phone number 3138929100 and fax number 3138920204. The mailing address for Shadows Oye Bedell is 19600 Van Dyke Street, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shadows Oye Bedell |
|---|---|
| Address | 19600 Van Dyke Street, Detroit, Michigan |
| Phone Number | 3138929100 |
| Fax Number | 3138920204 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083663702 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 19600 Van Dyke Street |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482343328 |
| Phone Number | 3138929100 |
| Fax Number | 3138920204 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901012360 |
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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 |
|---|---|---|---|
| 1240515450372 | MI | -- | |
| 1242908490512 | MI | -- |
Post Comment/ Review Below
What is the Shadows Oye Bedell's unique identification number?
The Shadows Oye Bedell has been assigned the NPI (National Provider Identifier) Number 1083663702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shadows Oye Bedell?
The Shadows Oye Bedell is situated at 19600 Van Dyke Street, in the city of Detroit, state of MI, with the zip code 482343328.
What is Shadows Oye Bedell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shadows Oye Bedell's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1083663702 assigned to Shadows Oye Bedell?
The Shadows Oye Bedell was issued its 1083663702 on 2006-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shadows Oye Bedell most recently updated or revised?
The details related to Shadows Oye Bedell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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