Jason C Doublestein in Grandville - General Practice
Jason C Doublestein - NPI 1386760072
Jason C Doublestein is a General Practice in Grandville, Michigan. Jason C Doublestein practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason C Doublestein is 1386760072. The last update date is 2015-12-23.
Jason C Doublestein's current location address is 4330 44th St. Sw, Grandville, Michigan. You can contact this provider via phone number 6165302200 and fax number 6165308250. The mailing address for Jason C Doublestein is 4330 44th St. Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason C Doublestein |
|---|---|
| Address | 4330 44th St. Sw, Grandville, Michigan |
| Phone Number | 6165302200 |
| Fax Number | 6165308250 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386760072 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2015-12-23 |
Provider Mailing Address Detail
| Address | 4330 44th St. Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 49418 |
| Phone Number | 6165302200 |
| Fax Number | 6165308250 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901018806 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1669598397 | MI | GENERAL DENTISTRY PRACTICE |
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What is the unique identification code assigned to Jason C Doublestein by the Centers for Medicare & Medicaid Services?
The Jason C Doublestein has been issued the NPI (National Provider Identifier) 1386760072. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jason C Doublestein's physical address?
The Jason C Doublestein is physically located at 4330 44Th St. Sw, in the city of Grandville, MI, with the postal code 49418.
What is Jason C Doublestein's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason C Doublestein's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Jason C Doublestein receive its 1386760072 assignment?
The Jason C Doublestein was assigned its 1386760072 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jason C Doublestein most recently updated or revised?
The details related to Jason C Doublestein, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-23.