Michael John Revenig in Chattanooga - General Practice
Michael John Revenig - NPI 1487711545
Michael John Revenig is a General Practice in Chattanooga, Tennessee. Michael John Revenig practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael John Revenig is 1487711545. The last update date is 2007-07-08.
Michael John Revenig's current location address is 4601 Brainerd Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4236986005 and fax number 4236986410. The mailing address for Michael John Revenig is 4601 Brainerd Rd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Revenig |
|---|---|
| Address | 4601 Brainerd Rd, Chattanooga, Tennessee |
| Phone Number | 4236986005 |
| Fax Number | 4236986410 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487711545 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4601 Brainerd Rd |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374113826 |
| Phone Number | 4236986005 |
| Fax Number | 4236986410 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS0000002186 |
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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 10-digit identification code assigned to Michael John Revenig by the Centers for Medicare & Medicaid Services?
The Michael John Revenig has been issued the NPI (National Provider Identifier) 1487711545, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael John Revenig is physically located?
The Michael John Revenig is physically situated at the following address: 4601 Brainerd Rd, Chattanooga, TN, 374113826.
What is the area of specialization for Michael John Revenig, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael John Revenig is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Michael John Revenig receive the assignment of its 1487711545 from the Centers for Medicare & Medicaid Services?
The Michael John Revenig was issued its 1487711545 by the Centers for Medicare & Medicaid Services on 2007-01-01.
As of what date was the information regarding Michael John Revenig, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael John Revenig, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.