Gary Harold Dwight in East Lansing - Oral And Maxillofacial Pathology

Gary Harold Dwight - NPI 1255333431

Gary Harold Dwight is a Oral And Maxillofacial Pathology in East Lansing, Michigan. Gary Harold Dwight practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Gary Harold Dwight is 1255333431. The last update date is 2008-04-02.

Gary Harold Dwight's current location address is 6400 Pine Hollow Dr, East Lansing, Michigan. You can contact this provider via phone number 5173391812. The mailing address for Gary Harold Dwight is 6400 Pine Hollow Dr, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Harold Dwight
Address 6400 Pine Hollow Dr, East Lansing, Michigan
Phone Number 5173391812
Fax Number
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1255333431
Provider Enumeration Date 2005-06-01
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 6400 Pine Hollow Dr
City East Lansing
State Michigan (MI)
Post Code 4882397370
Phone Number 5173391812
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No D10120
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4045412 MI --
2985740 MI --

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FAQs about Gary Harold Dwight

Could you provide the complete address where Gary Harold Dwight is physically located?

The Gary Harold Dwight is situated at the following address: 6400 Pine Hollow Dr, East Lansing, MI 4882397370.

What is Gary Harold Dwight's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gary Harold Dwight is Oral And Maxillofacial Pathology, and the corresponding taxonomy classification code for this specialized field is 1223P0106X.

On what date was the 1255333431 assigned to Gary Harold Dwight?

The Gary Harold Dwight was issued its 1255333431 on 2005-06-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Gary Harold Dwight receive the assignment of its 1255333431 from the Centers for Medicare & Medicaid Services?

The Gary Harold Dwight was issued its 1255333431 by the Centers for Medicare & Medicaid Services on 2005-06-01.

When was the information regarding Gary Harold Dwight most recently updated?

The details pertaining to the Gary Harold Dwight, including its address, specialty, and other relevant information, were last refreshed on 2008-04-02.

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