Square Lake Family Dentistry in Troy - General Practice
Square Lake Family Dentistry - NPI 1558442202
Square Lake Family Dentistry is a General Practice in Troy, Michigan. Square Lake Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Square Lake Family Dentistry is 1558442202. The last update date is 2008-01-31.
Square Lake Family Dentistry's current location address is 6053 Rochester Rd, Troy, Michigan. You can contact this provider via phone number 2488795858 and fax number 2488793578. The mailing address for Square Lake Family Dentistry is 6053 Rochester Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Square Lake Family Dentistry |
|---|---|
| Address | 6053 Rochester Rd, Troy, Michigan |
| Phone Number | 2488795858 |
| Fax Number | 2488793578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Patel Tushar Pritida |
| Credentials | DDS |
| Telephone Number | 2488795858 |
NPI Number Detail
| NPI Number | 1558442202 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 6053 Rochester Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480851303 |
| Phone Number | 2488795858 |
| Fax Number | 2488793578 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901015929 |
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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 identification code assigned to Square Lake Family Dentistry by the Centers for Medicare & Medicaid Services?
The Square Lake Family Dentistry has been issued the NPI (National Provider Identifier) 1558442202. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Square Lake Family Dentistry?
The Square Lake Family Dentistry is physically situated at 6053 Rochester Rd, in the city of Troy, state of MI, with the postal code 480851303.
What is Square Lake Family Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Square Lake Family Dentistry is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558442202 to Square Lake Family Dentistry?
The Centers for Medicare & Medicaid Services assigned the 1558442202 to Square Lake Family Dentistry on 2006-10-18.
When was the information pertaining to Square Lake Family Dentistry most recently updated or revised?
The details related to Square Lake Family Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-31.