John H Deppen in Portage - Pediatric Dentistry
John H Deppen - NPI 1134117807
John H Deppen is a Pediatric Dentistry in Portage, Michigan. John H Deppen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John H Deppen is 1134117807. The last update date is 2007-07-08.
John H Deppen's current location address is 6121 S Westnedge Ave, Portage, Michigan. You can contact this provider via phone number 2693238016 and fax number 2693238524. The mailing address for John H Deppen is 6121 S Westnedge Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John H Deppen |
|---|---|
| Address | 6121 S Westnedge Ave, Portage, Michigan |
| Phone Number | 2693238016 |
| Fax Number | 2693238524 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134117807 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6121 S Westnedge Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490022882 |
| Phone Number | 2693238016 |
| Fax Number | 2693238524 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2901009877 |
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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 John H Deppen's 1134117807?
The John H Deppen's NPI (National Provider Identifier) Number is 1134117807. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John H Deppen?
The John H Deppen is physically situated at 6121 S Westnedge Ave, in the city of Portage, state of MI, with the postal code 490022882.
What is John H Deppen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John H Deppen is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the John H Deppen receive its 1134117807 assignment from the Centers for Medicare & Medicaid Services?
The John H Deppen was assigned its 1134117807 by the Centers for Medicare & Medicaid Services on 2005-10-07.
As of what date was the information regarding John H Deppen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John H Deppen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.