Traverse Dental Associates, Pllc in Traverse City - General Practice
Traverse Dental Associates, Pllc - NPI 1336171800
Traverse Dental Associates, Pllc is a General Practice in Traverse City, Michigan. Traverse Dental Associates, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Traverse Dental Associates, Pllc is 1336171800. The last update date is 2022-03-23.
Traverse Dental Associates, Pllc's current location address is 555 South Garfield Ave, Traverse City, Michigan. You can contact this provider via phone number 2319470210 and fax number 2319476770. The mailing address for Traverse Dental Associates, Pllc is 555 South Garfield Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Traverse Dental Associates, Pllc |
|---|---|
| Address | 555 South Garfield Ave, Traverse City, Michigan |
| Phone Number | 2319470210 |
| Fax Number | 2319476770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mazzola D Christopher |
| Telephone Number | 7346571854 |
NPI Number Detail
| NPI Number | 1336171800 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 555 South Garfield Ave |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496863423 |
| Phone Number | 2319470210 |
| Fax Number | 2319476770 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12127 |
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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 Traverse Dental Associates, Pllc's unique identification number?
The Traverse Dental Associates, Pllc has been assigned the NPI (National Provider Identifier) Number 1336171800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Traverse Dental Associates, Pllc?
The Traverse Dental Associates, Pllc is physically situated at 555 South Garfield Ave, in the city of Traverse City, state of MI, with the postal code 496863423.
What is Traverse Dental Associates, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Traverse Dental Associates, Pllc 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 1336171800 to Traverse Dental Associates, Pllc?
The Traverse Dental Associates, Pllc received its 1336171800 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date was the information regarding Traverse Dental Associates, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Traverse Dental Associates, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-23.