Christopher Everett Vandeven in Grand Rapids - Pediatric Dentistry
Christopher Everett Vandeven - NPI 1639249154
Christopher Everett Vandeven is a Pediatric Dentistry in Grand Rapids, Michigan. Christopher Everett Vandeven practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Christopher Everett Vandeven is 1639249154. The last update date is 2007-10-31.
Christopher Everett Vandeven's current location address is 2000 43rd St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164551301 and fax number 6164556533. The mailing address for Christopher Everett Vandeven is 2000 43rd St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Everett Vandeven |
|---|---|
| Address | 2000 43rd St Se, Grand Rapids, Michigan |
| Phone Number | 6164551301 |
| Fax Number | 6164556533 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1639249154 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 2000 43rd St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495088700 |
| Phone Number | 6164551301 |
| Fax Number | 6164556533 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2901019299 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Christopher Everett Vandeven by the Centers for Medicare & Medicaid Services?
The Christopher Everett Vandeven has been issued the NPI (National Provider Identifier) 1639249154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Christopher Everett Vandeven is geographically located?
The Christopher Everett Vandeven is physically situated at the following location: 2000 43Rd St Se, Grand Rapids, MI, 495088700.
What is Christopher Everett Vandeven's specialized field of practice, and what is the corresponding taxonomy classification code?
The Christopher Everett Vandeven's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Christopher Everett Vandeven receive its 1639249154 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Everett Vandeven was assigned its 1639249154 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details pertaining to Christopher Everett Vandeven last refreshed?
The information related to the Christopher Everett Vandeven, including its address, specialty, and other relevant details, was last updated on 2007-10-31.