Mary Bernona Stevens in Grand Rapids - General Practice
Mary Bernona Stevens - NPI 1003819004
Mary Bernona Stevens is a General Practice in Grand Rapids, Michigan. Mary Bernona Stevens practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Bernona Stevens is 1003819004. The last update date is 2007-07-08.
Mary Bernona Stevens's current location address is 1172 Nixon Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164530644 and fax number 6164530640. The mailing address for Mary Bernona Stevens is 1172 Nixon Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Bernona Stevens |
|---|---|
| Address | 1172 Nixon Ave Nw, Grand Rapids, Michigan |
| Phone Number | 6164530644 |
| Fax Number | 6164530640 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1003819004 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1172 Nixon Ave Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4953436380 |
| Phone Number | 6164530644 |
| Fax Number | 6164530640 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12849 |
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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 Mary Bernona Stevens's unique identification number?
The Mary Bernona Stevens has been assigned the NPI (National Provider Identifier) Number 1003819004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mary Bernona Stevens is physically located?
The Mary Bernona Stevens is situated at the following address: 1172 Nixon Ave Nw, Grand Rapids, MI 4953436380.
What is the area of specialization for Mary Bernona Stevens, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Bernona Stevens is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the Mary Bernona Stevens receive its 1003819004?
The Mary Bernona Stevens was issued its 1003819004 on 2005-05-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mary Bernona Stevens most recently updated or revised?
The information pertaining to Mary Bernona Stevens, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.