Wallace Spurgeon Colvin in Mount Clemens - General Practice
Wallace Spurgeon Colvin - NPI 1730247222
Wallace Spurgeon Colvin is a General Practice in Mount Clemens, Michigan. Wallace Spurgeon Colvin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wallace Spurgeon Colvin is 1730247222. The last update date is 2007-07-08.
Wallace Spurgeon Colvin's current location address is 69 Southbound Gratiot Ave, Mount Clemens, Michigan. You can contact this provider via phone number 5867837000 and fax number 5867837003. The mailing address for Wallace Spurgeon Colvin is 69 Southbound Gratiot Ave, Mount Clemens, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Spurgeon Colvin |
|---|---|
| Address | 69 Southbound Gratiot Ave, Mount Clemens, Michigan |
| Phone Number | 5867837000 |
| Fax Number | 5867837003 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1730247222 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 69 Southbound Gratiot Ave |
|---|---|
| City | Mount Clemens |
| State | Michigan (MI) |
| Post Code | 480435545 |
| Phone Number | 5867837000 |
| Fax Number | 5867837003 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901016347 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4263930 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wallace Spurgeon Colvin by the Centers for Medicare & Medicaid Services?
The Wallace Spurgeon Colvin has been assigned the NPI (National Provider Identifier) 1730247222 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Wallace Spurgeon Colvin's facilities are situated?
The facilities of Wallace Spurgeon Colvin are physically located at the following address: 69 Southbound Gratiot Ave, Mount Clemens, MI, 480435545.
What is the area of specialization for Wallace Spurgeon Colvin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Spurgeon Colvin 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 originally issue the 1730247222 to Wallace Spurgeon Colvin?
The Centers for Medicare & Medicaid Services originally issued the 1730247222 to Wallace Spurgeon Colvin on 2006-12-05.
When was the information pertaining to Wallace Spurgeon Colvin most recently updated or revised?
The details related to Wallace Spurgeon Colvin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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