David R Bolla in Port Huron - General Practice
David R Bolla - NPI 1366658171
David R Bolla is a General Practice in Port Huron, Michigan. David R Bolla practices all healthcare services and medical treatments related to General Practice. The NPI Number for David R Bolla is 1366658171. The last update date is 2007-07-08.
David R Bolla's current location address is 1125 Thomas Edison Dr, Port Huron, Michigan. You can contact this provider via phone number 8109829821 and fax number 8109829645. The mailing address for David R Bolla is 1125 Thomas Edison Dr, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David R Bolla |
|---|---|
| Address | 1125 Thomas Edison Dr, Port Huron, Michigan |
| Phone Number | 8109829821 |
| Fax Number | 8109829645 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366658171 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1125 Thomas Edison Dr |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480608500 |
| Phone Number | 8109829821 |
| Fax Number | 8109829645 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12328 |
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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 David R Bolla's 1366658171?
The David R Bolla's NPI (National Provider Identifier) Number is 1366658171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David R Bolla is physically located?
The David R Bolla is situated at the following address: 1125 Thomas Edison Dr, Port Huron, MI 480608500.
What is David R Bolla'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 David R Bolla is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the David R Bolla receive its 1366658171?
The David R Bolla was issued its 1366658171 on 2007-05-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to David R Bolla most recently updated or revised?
The information pertaining to David R Bolla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1518960137
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