Personalized Dentistry in Warren - General Practice
Personalized Dentistry - NPI 1316071863
Personalized Dentistry is a General Practice in Warren, Michigan. Personalized Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Personalized Dentistry is 1316071863. The last update date is 2020-08-22.
Personalized Dentistry's current location address is 30825 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5867512900 and fax number 5867515224. The mailing address for Personalized Dentistry is 30825 Ryan Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Personalized Dentistry |
|---|---|
| Address | 30825 Ryan Rd, Warren, Michigan |
| Phone Number | 5867512900 |
| Fax Number | 5867515224 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lewis Bernard |
| Credentials | DDS |
| Telephone Number | 5867512900 |
NPI Number Detail
| NPI Number | 1316071863 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30825 Ryan Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480921903 |
| Phone Number | 5867512900 |
| Fax Number | 5867515224 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8373 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4017310 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Personalized Dentistry by the Centers for Medicare & Medicaid Services?
The Personalized Dentistry has been issued the NPI (National Provider Identifier) 1316071863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Personalized Dentistry's physical address?
The Personalized Dentistry is physically located at 30825 Ryan Rd, in the city of Warren, MI, with the postal code 480921903.
What is the Personalized Dentistry's area of specialization and corresponding taxonomy classification?
The Personalized Dentistry'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 assign the 1316071863 to Personalized Dentistry?
The Centers for Medicare & Medicaid Services assigned the 1316071863 to Personalized Dentistry on 2007-03-15.
When was the information regarding Personalized Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Personalized Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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