Mike R Henrickson in Maplewood - General Practice
Mike R Henrickson - NPI 1629291380
Mike R Henrickson is a General Practice in Maplewood, Minnesota. Mike R Henrickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mike R Henrickson is 1629291380. The last update date is 2007-07-08.
Mike R Henrickson's current location address is 1560 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6517778900 and fax number 6517778908. The mailing address for Mike R Henrickson is 1560 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mike R Henrickson |
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Address | 1560 Beam Ave, Maplewood, Minnesota |
Phone Number | 6517778900 |
Fax Number | 6517778908 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1629291380 |
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Provider Enumeration Date | 2007-04-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1560 Beam Ave |
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City | Maplewood |
State | Minnesota (MN) |
Post Code | 551091191 |
Phone Number | 6517778900 |
Fax Number | 6517778908 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D11920 |
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 identifier code issued to Mike R Henrickson by the Centers for Medicare & Medicaid Services (CMS)?
The Mike R Henrickson has been assigned the NPI (National Provider Identifier) 1629291380. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mike R Henrickson's facilities are geographically located?
The facilities of Mike R Henrickson are physically situated at the following location: 1560 Beam Ave, Maplewood, MN, 551091191.
What is Mike R Henrickson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mike R Henrickson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Mike R Henrickson receive its 1629291380 assignment from the Centers for Medicare & Medicaid Services?
The Mike R Henrickson was assigned its 1629291380 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the Mike R Henrickson's information last updated?
The Mike R Henrickson's information was last updated on 2007-07-08.