David Alan Ellsworth in Petoskey - General Practice
David Alan Ellsworth - NPI 1184804221
David Alan Ellsworth is a General Practice in Petoskey, Michigan. David Alan Ellsworth practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Alan Ellsworth is 1184804221. The last update date is 2007-11-06.
David Alan Ellsworth's current location address is 523 W Jefferson St, Petoskey, Michigan. You can contact this provider via phone number 2313478899. The mailing address for David Alan Ellsworth is 523 W Jefferson St, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Alan Ellsworth |
|---|---|
| Address | 523 W Jefferson St, Petoskey, Michigan |
| Phone Number | 2313478899 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184804221 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 523 W Jefferson St |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497702271 |
| Phone Number | 2313478899 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 18740 |
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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 provider identifier assigned to David Alan Ellsworth?
The David Alan Ellsworth has been issued the NPI (National Provider Identifier) 1184804221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where David Alan Ellsworth is geographically located?
The David Alan Ellsworth is physically situated at the following location: 523 W Jefferson St, Petoskey, MI, 497702271.
What is David Alan Ellsworth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Alan Ellsworth'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 Centers for Medicare & Medicaid Services issue the 1184804221 to David Alan Ellsworth?
The David Alan Ellsworth received its 1184804221 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.
When was the information regarding David Alan Ellsworth most recently updated?
The details pertaining to the David Alan Ellsworth, including its address, specialty, and other relevant information, were last refreshed on 2007-11-06.
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