Travis Wade Kragt in Grand Rapids - General Practice
Travis Wade Kragt - NPI 1902988108
Travis Wade Kragt is a General Practice in Grand Rapids, Michigan. Travis Wade Kragt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Travis Wade Kragt is 1902988108. The last update date is 2007-07-08.
Travis Wade Kragt's current location address is 933 3 Mile Rd Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167846300 and fax number 6167849303. The mailing address for Travis Wade Kragt is 933 3 Mile Rd Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Wade Kragt |
|---|---|
| Address | 933 3 Mile Rd Nw, Grand Rapids, Michigan |
| Phone Number | 6167846300 |
| Fax Number | 6167849303 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902988108 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 933 3 Mile Rd Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495441673 |
| Phone Number | 6167846300 |
| Fax Number | 6167849303 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901019180 |
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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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What is the unique 10-digit identification code issued to Travis Wade Kragt by the Centers for Medicare & Medicaid Services?
The Travis Wade Kragt has been assigned the NPI (National Provider Identifier) 1902988108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Travis Wade Kragt?
The Travis Wade Kragt is situated at 933 3 Mile Rd Nw, in the city of Grand Rapids, state of MI, with the zip code 495441673.
What is Travis Wade Kragt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Travis Wade Kragt is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Travis Wade Kragt receive its 1902988108 assignment?
The Travis Wade Kragt was assigned its 1902988108 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Travis Wade Kragt's details last updated?
The information pertaining to the Travis Wade Kragt, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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