Forrest Lance Quattro in Taylor - General Practice
Forrest Lance Quattro - NPI 1316095912
Forrest Lance Quattro is a General Practice in Taylor, Michigan. Forrest Lance Quattro practices all healthcare services and medical treatments related to General Practice. The NPI Number for Forrest Lance Quattro is 1316095912. The last update date is 2007-07-08.
Forrest Lance Quattro's current location address is 21925 Van Born Rd, Taylor, Michigan. You can contact this provider via phone number 5862954338. The mailing address for Forrest Lance Quattro is 21925 Van Born Rd, Taylor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Forrest Lance Quattro |
|---|---|
| Address | 21925 Van Born Rd, Taylor, Michigan |
| Phone Number | 5862954338 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1316095912 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21925 Van Born Rd |
|---|---|
| City | Taylor |
| State | Michigan (MI) |
| Post Code | 481801335 |
| Phone Number | 5862954338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14821 |
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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 10-digit identifier code issued to Forrest Lance Quattro by the Centers for Medicare & Medicaid Services?
The Forrest Lance Quattro has been assigned the NPI (National Provider Identifier) 1316095912 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Forrest Lance Quattro is located?
The Forrest Lance Quattro is situated at the following address: 21925 Van Born Rd, Taylor, MI, 481801335.
What is the Forrest Lance Quattro's area of specialization and corresponding taxonomy classification?
The Forrest Lance Quattro's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1316095912 to Forrest Lance Quattro?
The Forrest Lance Quattro received its 1316095912 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information regarding Forrest Lance Quattro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Forrest Lance Quattro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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