Kevin Donald Prush in Saint Clair Shores - General Practice
Kevin Donald Prush - NPI 1982668372
Kevin Donald Prush is a General Practice in Saint Clair Shores, Michigan. Kevin Donald Prush practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Donald Prush is 1982668372. The last update date is 2022-08-25.
Kevin Donald Prush's current location address is 30231 Jefferson Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867752400 and fax number 5867752406. The mailing address for Kevin Donald Prush is 30231 Jefferson Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Donald Prush |
|---|---|
| Address | 30231 Jefferson Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867752400 |
| Fax Number | 5867752406 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982668372 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2022-08-25 |
Provider Mailing Address Detail
| Address | 30231 Jefferson Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480821787 |
| Phone Number | 5867752400 |
| Fax Number | 5867752406 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15251 |
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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 Kevin Donald Prush's unique identification number?
The Kevin Donald Prush has been assigned the NPI (National Provider Identifier) Number 1982668372 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kevin Donald Prush's physical address?
The Kevin Donald Prush is physically located at 30231 Jefferson Ave, in the city of Saint Clair Shores, MI, with the postal code 480821787.
What is Kevin Donald Prush'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 Kevin Donald Prush is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982668372 to Kevin Donald Prush?
The Centers for Medicare & Medicaid Services originally issued the 1982668372 to Kevin Donald Prush on 2006-04-13.
As of what date were the details pertaining to Kevin Donald Prush last refreshed?
The information related to the Kevin Donald Prush, including its address, specialty, and other relevant details, was last updated on 2022-08-25.
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