Defoe James Edgerle in Grand Rapids - General Practice
Defoe James Edgerle - NPI 1174684120
Defoe James Edgerle is a General Practice in Grand Rapids, Michigan. Defoe James Edgerle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Defoe James Edgerle is 1174684120. The last update date is 2007-07-08.
Defoe James Edgerle's current location address is 751 Kenmoor Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169494272 and fax number 6169499320. The mailing address for Defoe James Edgerle is 751 Kenmoor Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Defoe James Edgerle |
|---|---|
| Address | 751 Kenmoor Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169494272 |
| Fax Number | 6169499320 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174684120 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 751 Kenmoor Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462388 |
| Phone Number | 6169494272 |
| Fax Number | 6169499320 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15945 |
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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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Post Comment/ Review Below
What is the Defoe James Edgerle's unique identification number?
The Defoe James Edgerle has been assigned the NPI (National Provider Identifier) Number 1174684120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Defoe James Edgerle's facilities are situated?
The facilities of Defoe James Edgerle are physically located at the following address: 751 Kenmoor Ave Se, Grand Rapids, MI, 495462388.
What is Defoe James Edgerle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Defoe James Edgerle's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1174684120 assigned to Defoe James Edgerle?
The Defoe James Edgerle was issued its 1174684120 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Defoe James Edgerle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Defoe James Edgerle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.