Sally A. Stommen in Grass Lake - General Practice
Sally A. Stommen - NPI 1871566612
Sally A. Stommen is a General Practice in Grass Lake, Michigan. Sally A. Stommen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sally A. Stommen is 1871566612. The last update date is 2007-07-08.
Sally A. Stommen's current location address is 11745 E Michigan Ave, Grass Lake, Michigan. You can contact this provider via phone number 5175225018 and fax number 5175223708. The mailing address for Sally A. Stommen is 11745 E Michigan Ave, Grass Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally A. Stommen |
|---|---|
| Address | 11745 E Michigan Ave, Grass Lake, Michigan |
| Phone Number | 5175225018 |
| Fax Number | 5175223708 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871566612 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11745 E Michigan Ave |
|---|---|
| City | Grass Lake |
| State | Michigan (MI) |
| Post Code | 492409219 |
| Phone Number | 5175225018 |
| Fax Number | 5175223708 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12850 |
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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 identification code assigned to Sally A. Stommen by the Centers for Medicare & Medicaid Services?
The Sally A. Stommen has been issued the NPI (National Provider Identifier) 1871566612. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sally A. Stommen?
The Sally A. Stommen is situated at 11745 E Michigan Ave, in the city of Grass Lake, state of MI, with the zip code 492409219.
What is Sally A. Stommen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sally A. Stommen is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871566612 to Sally A. Stommen?
The Centers for Medicare & Medicaid Services originally issued the 1871566612 to Sally A. Stommen on 2006-02-10.
As of what date was the information regarding Sally A. Stommen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sally A. Stommen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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