Paul David Stuckey in Grosse Pointe Woods - General Practice

Paul David Stuckey - NPI 1205831336

Paul David Stuckey is a General Practice in Grosse Pointe Woods, Michigan. Paul David Stuckey practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul David Stuckey is 1205831336. The last update date is 2013-01-28.

Paul David Stuckey's current location address is 19639 Mack Ave, Grosse Pointe Woods, Michigan. You can contact this provider via phone number 3138822575 and fax number 3138818656. The mailing address for Paul David Stuckey is 19639 Mack Ave, Grosse Pointe Woods, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul David Stuckey
Address 19639 Mack Ave, Grosse Pointe Woods, Michigan
Phone Number 3138822575
Fax Number 3138818656
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1205831336
Provider Enumeration Date 2005-06-15
Last Updated Date 2013-01-28

Provider Mailing Address Detail

Address 19639 Mack Ave
City Grosse Pointe Woods
State Michigan (MI)
Post Code 4823625350
Phone Number 3138822575
Fax Number 3138818656

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9794
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 Paul David Stuckey

What is the unique identification code assigned to Paul David Stuckey by the Centers for Medicare & Medicaid Services?

The Paul David Stuckey has been issued the NPI (National Provider Identifier) 1205831336. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Paul David Stuckey's facilities are situated?

The facilities of Paul David Stuckey are physically located at the following address: 19639 Mack Ave, Grosse Pointe Woods, MI, 4823625350.

What is Paul David Stuckey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul David Stuckey is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Paul David Stuckey receive its 1205831336 assignment?

The Paul David Stuckey was assigned its 1205831336 on 2005-06-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Paul David Stuckey last refreshed?

The information related to the Paul David Stuckey, including its address, specialty, and other relevant details, was last updated on 2013-01-28.

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