Cody Dental Center P.C. in Southfield - General Practice

Cody Dental Center P.C. - NPI 1255482659

Cody Dental Center P.C. is a General Practice in Southfield, Michigan. Cody Dental Center P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cody Dental Center P.C. is 1255482659. The last update date is 2008-04-24.

Cody Dental Center P.C.'s current location address is 17070 W 12 Mile Rd, Southfield, Michigan. You can contact this provider via phone number 2483954700. The mailing address for Cody Dental Center P.C. is 17070 W 12 Mile Rd, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cody Dental Center P.C.
Address 17070 W 12 Mile Rd, Southfield, Michigan
Phone Number 2483954700
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Eggleston E. Karen
Credentials D.D.S.
Telephone Number 2483954700

NPI Number Detail

NPI Number 1255482659
Provider Enumeration Date 2007-01-15
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 17070 W 12 Mile Rd
City Southfield
State Michigan (MI)
Post Code 480762116
Phone Number 2483954700
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13102
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J131020 MI BLUE CROSS BLUE SHIELD

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FAQs about Cody Dental Center P.C.

What is the Cody Dental Center P.C.'s unique identification number?

The Cody Dental Center P.C. has been assigned the NPI (National Provider Identifier) Number 1255482659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Cody Dental Center P.C.?

The Cody Dental Center P.C. is situated at 17070 W 12 Mile Rd, in the city of Southfield, state of MI, with the zip code 480762116.

What is Cody Dental Center P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cody Dental Center P.C. is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1255482659 to Cody Dental Center P.C.?

The Cody Dental Center P.C. received its 1255482659 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.

When was the information related to Cody Dental Center P.C. most recently updated or refreshed?

The details pertaining to the Cody Dental Center P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-24.

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