Robert Eldridge Marriott in Macomb - General Practice
Robert Eldridge Marriott - NPI 1497732002
Robert Eldridge Marriott is a General Practice in Macomb, Michigan. Robert Eldridge Marriott practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Eldridge Marriott is 1497732002. The last update date is 2007-07-08.
Robert Eldridge Marriott's current location address is 45555 Heydenreich Rd, Macomb, Michigan. You can contact this provider via phone number 5864161460 and fax number 5864161463. The mailing address for Robert Eldridge Marriott is 45555 Heydenreich Rd, Macomb, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Eldridge Marriott |
|---|---|
| Address | 45555 Heydenreich Rd, Macomb, Michigan |
| Phone Number | 5864161460 |
| Fax Number | 5864161463 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1497732002 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 45555 Heydenreich Rd |
|---|---|
| City | Macomb |
| State | Michigan (MI) |
| Post Code | 480446600 |
| Phone Number | 5864161460 |
| Fax Number | 5864161463 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901011231 |
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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 Robert Eldridge Marriott's unique identification number?
The Robert Eldridge Marriott has been assigned the NPI (National Provider Identifier) Number 1497732002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Robert Eldridge Marriott?
The Robert Eldridge Marriott is situated at 45555 Heydenreich Rd, in the city of Macomb, state of MI, with the zip code 480446600.
What is Robert Eldridge Marriott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Eldridge Marriott is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Robert Eldridge Marriott receive its 1497732002 assignment from the Centers for Medicare & Medicaid Services?
The Robert Eldridge Marriott was assigned its 1497732002 by the Centers for Medicare & Medicaid Services on 2005-12-23.
As of what date were the details pertaining to Robert Eldridge Marriott last refreshed?
The information related to the Robert Eldridge Marriott, including its address, specialty, and other relevant details, was last updated on 2007-07-08.