John Matthew Otrhalek in Grosse Pointe Shores - General Practice

John Matthew Otrhalek - NPI 1144209032

John Matthew Otrhalek is a General Practice in Grosse Pointe Shores, Michigan. John Matthew Otrhalek practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Matthew Otrhalek is 1144209032. The last update date is 2007-07-08.

John Matthew Otrhalek's current location address is 60 Colonial Rd, Grosse Pointe Shores, Michigan. You can contact this provider via phone number 3138861739 and fax number 3138840777. The mailing address for John Matthew Otrhalek is 60 Colonial Rd, Grosse Pointe Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John Matthew Otrhalek
Address 60 Colonial Rd, Grosse Pointe Shores, Michigan
Phone Number 3138861739
Fax Number 3138840777
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1144209032
Provider Enumeration Date 2006-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 Colonial Rd
City Grosse Pointe Shores
State Michigan (MI)
Post Code 482361775
Phone Number 3138861739
Fax Number 3138840777

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901011923
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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FAQs about John Matthew Otrhalek

What is the John Matthew Otrhalek's 1144209032?

The John Matthew Otrhalek's NPI (National Provider Identifier) Number is 1144209032. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John Matthew Otrhalek?

The John Matthew Otrhalek is situated at 60 Colonial Rd, in the city of Grosse Pointe Shores, state of MI, with the zip code 482361775.

What is the area of specialization for John Matthew Otrhalek, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Matthew Otrhalek is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144209032 to John Matthew Otrhalek?

The John Matthew Otrhalek received its 1144209032 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.

When was the information related to John Matthew Otrhalek most recently updated or refreshed?

The details pertaining to the John Matthew Otrhalek, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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