Glenn Keith Wendela in Port Huron - General Practice
Glenn Keith Wendela - NPI 1447266481
Glenn Keith Wendela is a General Practice in Port Huron, Michigan. Glenn Keith Wendela practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn Keith Wendela is 1447266481. The last update date is 2007-07-08.
Glenn Keith Wendela's current location address is 803 Superior St, Port Huron, Michigan. You can contact this provider via phone number 8109877224 and fax number 8109878585. The mailing address for Glenn Keith Wendela is 803 Superior St, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Keith Wendela |
|---|---|
| Address | 803 Superior St, Port Huron, Michigan |
| Phone Number | 8109877224 |
| Fax Number | 8109878585 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1447266481 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 803 Superior St |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480603764 |
| Phone Number | 8109877224 |
| Fax Number | 8109878585 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901010502 |
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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 Glenn Keith Wendela by the Centers for Medicare & Medicaid Services?
The Glenn Keith Wendela has been issued the NPI (National Provider Identifier) 1447266481. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glenn Keith Wendela?
The Glenn Keith Wendela is situated at 803 Superior St, in the city of Port Huron, state of MI, with the zip code 480603764.
What is Glenn Keith Wendela's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glenn Keith Wendela is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447266481 to Glenn Keith Wendela?
The Glenn Keith Wendela received its 1447266481 assignment from the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the Glenn Keith Wendela's details last updated?
The information pertaining to the Glenn Keith Wendela, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
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