Matthew P. Durham in Grand Rapids - General Practice
Matthew P. Durham - NPI 1003960436
Matthew P. Durham is a General Practice in Grand Rapids, Michigan. Matthew P. Durham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew P. Durham is 1003960436. The last update date is 2015-12-08.
Matthew P. Durham's current location address is 2700 5 Mile Nerd 201, Grand Rapids, Michigan. You can contact this provider via phone number 6163611727 and fax number 6163610060. The mailing address for Matthew P. Durham is 2700 5 Mile Nerd 201, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew P. Durham |
|---|---|
| Address | 2700 5 Mile Nerd 201, Grand Rapids, Michigan |
| Phone Number | 6163611727 |
| Fax Number | 6163610060 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1003960436 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 2700 5 Mile Nerd 201 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256516 |
| Phone Number | 6163611727 |
| Fax Number | 6163610060 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 290107668 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4361190 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew P. Durham by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew P. Durham has been assigned the NPI (National Provider Identifier) 1003960436. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Matthew P. Durham's physical address?
The Matthew P. Durham is physically located at 2700 5 Mile Nerd 201, in the city of Grand Rapids, MI, with the postal code 495256516.
What is the Matthew P. Durham's area of specialization and corresponding taxonomy classification?
The Matthew P. Durham's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Matthew P. Durham receive its 1003960436 assignment from the Centers for Medicare & Medicaid Services?
The Matthew P. Durham was assigned its 1003960436 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Matthew P. Durham last refreshed?
The information related to the Matthew P. Durham, including its address, specialty, and other relevant details, was last updated on 2015-12-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL