Mid-Michigan Pediatric Dentistry in Flint - Pediatric Dentistry

Mid-Michigan Pediatric Dentistry - NPI 1437323904

Mid-Michigan Pediatric Dentistry is a Pediatric Dentistry in Flint, Michigan. Mid-Michigan Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mid-Michigan Pediatric Dentistry is 1437323904. The last update date is 2014-01-01.

Mid-Michigan Pediatric Dentistry's current location address is 1125 S Linden Rd, Flint, Michigan. You can contact this provider via phone number 8107335310 and fax number 8107331216. The mailing address for Mid-Michigan Pediatric Dentistry is 1125 S Linden Rd, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mid-Michigan Pediatric Dentistry
Address 1125 S Linden Rd, Flint, Michigan
Phone Number 8107335310
Fax Number 8107331216
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Sushynski Michael John
Credentials D.D.S., M.
Telephone Number 8107335310

NPI Number Detail

NPI Number 1437323904
Provider Enumeration Date 2008-04-16
Last Updated Date 2014-01-01

Provider Mailing Address Detail

Address 1125 S Linden Rd
City Flint
State Michigan (MI)
Post Code 485324073
Phone Number 8107335310
Fax Number 8107331216

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2901019960
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
4060491 MI --

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FAQs about Mid-Michigan Pediatric Dentistry

What is the unique identifier code issued to Mid-Michigan Pediatric Dentistry by the Centers for Medicare & Medicaid Services?

The Mid-Michigan Pediatric Dentistry has been assigned the NPI (National Provider Identifier) 1437323904. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mid-Michigan Pediatric Dentistry?

The Mid-Michigan Pediatric Dentistry is situated at 1125 S Linden Rd, in the city of Flint, state of MI, with the zip code 485324073.

What is the area of specialization for Mid-Michigan Pediatric Dentistry, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mid-Michigan Pediatric Dentistry is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

When did Mid-Michigan Pediatric Dentistry receive its 1437323904 assignment?

The Mid-Michigan Pediatric Dentistry was assigned its 1437323904 on 2008-04-16, which is the date when this unique identifier was issued to the organization.

As of what date were the Mid-Michigan Pediatric Dentistry's details last updated?

The information pertaining to the Mid-Michigan Pediatric Dentistry, including its address, specialty, and other details, was most recently updated on 2014-01-01.

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