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 |
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Address | 39400 Garfield Rd, Clinton Township, Michigan |
Phone Number | 5862860700 |
Fax Number | 5862865969 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1235233370 |
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Provider Enumeration Date | 2006-09-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 39400 Garfield Rd |
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City | Clinton Township |
State | Michigan (MI) |
Post Code | 480384096 |
Phone Number | 5862860700 |
Fax Number | 5862865969 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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 | -- |
Post Comment/ Review Below
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.