Jerome Gerenraich in Sterling Hts - General Practice

Jerome Gerenraich - NPI 1265446223

Jerome Gerenraich is a General Practice in Sterling Hts, Michigan. Jerome Gerenraich practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerome Gerenraich is 1265446223. The last update date is 2007-07-08.

Jerome Gerenraich's current location address is 39601 Van Dyke Ave, Sterling Hts, Michigan. You can contact this provider via phone number 5869395400 and fax number 5869793333. The mailing address for Jerome Gerenraich is 39601 Van Dyke Ave, Sterling Hts, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome Gerenraich
Address 39601 Van Dyke Ave, Sterling Hts, Michigan
Phone Number 5869395400
Fax Number 5869793333
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1265446223
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 39601 Van Dyke Ave
City Sterling Hts
State Michigan (MI)
Post Code 483134625
Phone Number 5869395400
Fax Number 5869793333

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901008727
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
4027610 MI --

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FAQs about Jerome Gerenraich

What is the unique 10-digit identifier code assigned to Jerome Gerenraich by the Centers for Medicare & Medicaid Services?

The Jerome Gerenraich has been issued the NPI (National Provider Identifier) 1265446223 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jerome Gerenraich is physically located?

The Jerome Gerenraich is physically situated at the following address: 39601 Van Dyke Ave, Sterling Hts, MI, 483134625.

What is Jerome Gerenraich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerome Gerenraich's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date was the 1265446223 assigned to Jerome Gerenraich?

The Jerome Gerenraich was issued its 1265446223 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jerome Gerenraich last refreshed?

The information related to the Jerome Gerenraich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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