Renee D Fraser in Clinton Township - Pediatric Dentistry

Renee D Fraser - NPI 1235233370

Renee D Fraser is a Pediatric Dentistry in Clinton Township, Michigan. Renee D Fraser practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Renee D Fraser is 1235233370. The last update date is 2007-07-08.

Renee D Fraser's current location address is 39400 Garfield Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862860700 and fax number 5862865969. The mailing address for Renee D Fraser is 39400 Garfield Rd, Clinton Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Renee D Fraser
Address 39400 Garfield Rd, Clinton Township, Michigan
Phone Number 5862860700
Fax Number 5862865969
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1235233370
Provider Enumeration Date 2006-09-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 39400 Garfield Rd
City Clinton Township
State Michigan (MI)
Post Code 480384096
Phone Number 5862860700
Fax Number 5862865969

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 16578
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3499519 MI --

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FAQs about Renee D Fraser

What is the Renee D Fraser's unique identification number?

The Renee D Fraser has been assigned the NPI (National Provider Identifier) Number 1235233370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Renee D Fraser is physically located?

The Renee D Fraser is physically situated at the following address: 39400 Garfield Rd, Clinton Township, MI, 480384096.

What is Renee D Fraser's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Renee D Fraser is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

When did the Renee D Fraser receive its 1235233370?

The Renee D Fraser was issued its 1235233370 on 2006-09-11, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Renee D Fraser most recently updated or revised?

The details related to Renee D Fraser, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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