Dale R Shoemaker in Grand Rapids - General Practice

Dale R Shoemaker - NPI 1356407092

Dale R Shoemaker is a General Practice in Grand Rapids, Michigan. Dale R Shoemaker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dale R Shoemaker is 1356407092. The last update date is 2007-07-08.

Dale R Shoemaker's current location address is 4828 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169403033 and fax number 6169403043. The mailing address for Dale R Shoemaker is 4828 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale R Shoemaker
Address 4828 Cascade Rd Se, Grand Rapids, Michigan
Phone Number 6169403033
Fax Number 6169403043
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1356407092
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4828 Cascade Rd Se
City Grand Rapids
State Michigan (MI)
Post Code 495463721
Phone Number 6169403033
Fax Number 6169403043

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901012733
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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FAQs about Dale R Shoemaker

What is the unique provider identifier assigned to Dale R Shoemaker?

The Dale R Shoemaker has been issued the NPI (National Provider Identifier) 1356407092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dale R Shoemaker?

The Dale R Shoemaker is physically situated at 4828 Cascade Rd Se, in the city of Grand Rapids, state of MI, with the postal code 495463721.

What is Dale R Shoemaker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dale R Shoemaker's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356407092 to Dale R Shoemaker?

The Dale R Shoemaker received its 1356407092 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.

As of what date was the information pertaining to Dale R Shoemaker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dale R Shoemaker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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