Russell Clifford Doeringer in Waterford - General Practice
Russell Clifford Doeringer - NPI 1891852083
Russell Clifford Doeringer is a General Practice in Waterford, Michigan. Russell Clifford Doeringer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Clifford Doeringer is 1891852083. The last update date is 2007-07-08.
Russell Clifford Doeringer's current location address is 4626 Walton Blvd, Waterford, Michigan. You can contact this provider via phone number 2486740384 and fax number 2486741483. The mailing address for Russell Clifford Doeringer is 4626 Walton Blvd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Clifford Doeringer |
|---|---|
| Address | 4626 Walton Blvd, Waterford, Michigan |
| Phone Number | 2486740384 |
| Fax Number | 2486741483 |
| Sole Proprietor | N |
| Credentials | DMD PC |
NPI Number Detail
| NPI Number | 1891852083 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4626 Walton Blvd |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483293535 |
| Phone Number | 2486740384 |
| Fax Number | 2486741483 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901009668 |
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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 Russell Clifford Doeringer by the Centers for Medicare & Medicaid Services?
The Russell Clifford Doeringer has been issued the NPI (National Provider Identifier) 1891852083. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Russell Clifford Doeringer?
The Russell Clifford Doeringer is situated at 4626 Walton Blvd, in the city of Waterford, state of MI, with the zip code 483293535.
What is Russell Clifford Doeringer's area of expertise and its corresponding taxonomy classification?
The Russell Clifford Doeringer's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Russell Clifford Doeringer receive the assignment of its 1891852083 from the Centers for Medicare & Medicaid Services?
The Russell Clifford Doeringer was issued its 1891852083 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the details related to Russell Clifford Doeringer most recently updated or revised?
The information pertaining to Russell Clifford Doeringer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.