Theodore Mark Healy in Lincoln Park - General Practice
Theodore Mark Healy - NPI 1114022795
Theodore Mark Healy is a General Practice in Lincoln Park, Michigan. Theodore Mark Healy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theodore Mark Healy is 1114022795. The last update date is 2007-07-08.
Theodore Mark Healy's current location address is 1359 Champaign, Lincoln Park, Michigan. You can contact this provider via phone number 3133869660 and fax number 3133865515. The mailing address for Theodore Mark Healy is 1359 Champaign, Lincoln Park, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Mark Healy |
|---|---|
| Address | 1359 Champaign, Lincoln Park, Michigan |
| Phone Number | 3133869660 |
| Fax Number | 3133865515 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114022795 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1359 Champaign |
|---|---|
| City | Lincoln Park |
| State | Michigan (MI) |
| Post Code | 481463303 |
| Phone Number | 3133869660 |
| Fax Number | 3133865515 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9353 |
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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 unique identification code assigned to Theodore Mark Healy by the Centers for Medicare & Medicaid Services?
The Theodore Mark Healy has been issued the NPI (National Provider Identifier) 1114022795. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Theodore Mark Healy is physically located?
The Theodore Mark Healy is situated at the following address: 1359 Champaign, Lincoln Park, MI 481463303.
What is Theodore Mark Healy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodore Mark Healy is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Theodore Mark Healy receive its 1114022795 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Mark Healy was assigned its 1114022795 by the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date was the information regarding Theodore Mark Healy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore Mark Healy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.