Blue Water Dental Group Marysville Pc in Maryville - General Practice
Blue Water Dental Group Marysville Pc - NPI 1508975319
Blue Water Dental Group Marysville Pc is a General Practice in Maryville, Michigan. Blue Water Dental Group Marysville Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Blue Water Dental Group Marysville Pc is 1508975319. The last update date is 2020-08-22.
Blue Water Dental Group Marysville Pc's current location address is 1616 Gratiot Blvd, Maryville, Michigan. You can contact this provider via phone number 8103647601 and fax number 8103649010. The mailing address for Blue Water Dental Group Marysville Pc is 1616 Gratiot Blvd, Maryville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Water Dental Group Marysville Pc |
|---|---|
| Address | 1616 Gratiot Blvd, Maryville, Michigan |
| Phone Number | 8103647601 |
| Fax Number | 8103649010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kile Lee William |
| Credentials | DDS FICCM |
| Telephone Number | 8103647601 |
NPI Number Detail
| NPI Number | 1508975319 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1616 Gratiot Blvd |
|---|---|
| City | Maryville |
| State | Michigan (MI) |
| Post Code | 480401181 |
| Phone Number | 8103647601 |
| Fax Number | 8103649010 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901008847 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Blue Water Dental Group Marysville Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Blue Water Dental Group Marysville Pc has been assigned the NPI (National Provider Identifier) 1508975319. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Blue Water Dental Group Marysville Pc is geographically located?
The Blue Water Dental Group Marysville Pc is physically situated at the following location: 1616 Gratiot Blvd, Maryville, MI, 480401181.
What is Blue Water Dental Group Marysville Pc's area of expertise and its corresponding taxonomy classification?
The Blue Water Dental Group Marysville Pc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1508975319 to Blue Water Dental Group Marysville Pc?
The Blue Water Dental Group Marysville Pc received its 1508975319 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date was the information pertaining to Blue Water Dental Group Marysville Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Blue Water Dental Group Marysville Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.