Lakes Pediatric Dentistry in Commerce - Pediatric Dentistry

Lakes Pediatric Dentistry - NPI 1952350852

Lakes Pediatric Dentistry is a Pediatric Dentistry in Commerce, Michigan. Lakes Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lakes Pediatric Dentistry is 1952350852. The last update date is 2020-08-22.

Lakes Pediatric Dentistry's current location address is 3101 Union Lake Rd, Commerce, Michigan. You can contact this provider via phone number 2483602555 and fax number 2483601333. The mailing address for Lakes Pediatric Dentistry is 3101 Union Lake Rd, Commerce, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakes Pediatric Dentistry
Address 3101 Union Lake Rd, Commerce, Michigan
Phone Number 2483602555
Fax Number 2483601333
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Farooq S Naila
Credentials BDS MS DDP
Telephone Number 2483602555

NPI Number Detail

NPI Number 1952350852
Provider Enumeration Date 2006-05-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3101 Union Lake Rd
City Commerce
State Michigan (MI)
Post Code 483824547
Phone Number 2483602555
Fax Number 2483601333

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2901017794
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.

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FAQs about Lakes Pediatric Dentistry

What is the unique identifier code issued to Lakes Pediatric Dentistry by the Centers for Medicare & Medicaid Services (CMS)?

The Lakes Pediatric Dentistry has been assigned the NPI (National Provider Identifier) 1952350852. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Lakes Pediatric Dentistry is geographically located?

The Lakes Pediatric Dentistry is physically situated at the following location: 3101 Union Lake Rd, Commerce, MI, 483824547.

What is Lakes Pediatric Dentistry'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 Lakes Pediatric Dentistry is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

On what date did the Lakes Pediatric Dentistry receive its 1952350852 assignment from the Centers for Medicare & Medicaid Services?

The Lakes Pediatric Dentistry was assigned its 1952350852 by the Centers for Medicare & Medicaid Services on 2006-05-08.

When was the Lakes Pediatric Dentistry's information last updated?

The Lakes Pediatric Dentistry's information was last updated on 2020-08-22.

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