Mark Albert Lange in Muskegon - General Practice

Mark Albert Lange - NPI 1467517607

Mark Albert Lange is a General Practice in Muskegon, Michigan. Mark Albert Lange practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Albert Lange is 1467517607. The last update date is 2007-07-09.

Mark Albert Lange's current location address is 3961 Lake Point Dr, Muskegon, Michigan. You can contact this provider via phone number 2317337708. The mailing address for Mark Albert Lange is 3961 Lake Point Dr, Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Albert Lange
Address 3961 Lake Point Dr, Muskegon, Michigan
Phone Number 2317337708
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1467517607
Provider Enumeration Date 2006-12-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3961 Lake Point Dr
City Muskegon
State Michigan (MI)
Post Code 494414690
Phone Number 2317337708
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12522
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4054547 MI --

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FAQs about Mark Albert Lange

What is the unique provider identifier assigned to Mark Albert Lange?

The Mark Albert Lange has been issued the NPI (National Provider Identifier) 1467517607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Mark Albert Lange is physically located?

The Mark Albert Lange is physically situated at the following address: 3961 Lake Point Dr, Muskegon, MI, 494414690.

What is Mark Albert Lange's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark Albert Lange's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Mark Albert Lange receive the assignment of its 1467517607 from the Centers for Medicare & Medicaid Services?

The Mark Albert Lange was issued its 1467517607 by the Centers for Medicare & Medicaid Services on 2006-12-27.

When was the information pertaining to Mark Albert Lange most recently updated or revised?

The details related to Mark Albert Lange, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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