Jason Marc Golnick in Taylor - Pediatric Dentistry
Jason Marc Golnick - NPI 1316915044
Jason Marc Golnick is a Pediatric Dentistry in Taylor, Michigan. Jason Marc Golnick practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jason Marc Golnick is 1316915044. The last update date is 2007-07-08.
Jason Marc Golnick's current location address is 21213 Ecorse Rd, Taylor, Michigan. You can contact this provider via phone number 3132927777 and fax number 3132927515. The mailing address for Jason Marc Golnick is 21213 Ecorse Rd, Taylor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Marc Golnick |
|---|---|
| Address | 21213 Ecorse Rd, Taylor, Michigan |
| Phone Number | 3132927777 |
| Fax Number | 3132927515 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1316915044 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21213 Ecorse Rd |
|---|---|
| City | Taylor |
| State | Michigan (MI) |
| Post Code | 481801834 |
| Phone Number | 3132927777 |
| Fax Number | 3132927515 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2901016484 |
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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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Can you provide the Jason Marc Golnick's physical address?
The Jason Marc Golnick is physically located at 21213 Ecorse Rd, in the city of Taylor, MI, with the postal code 481801834.
What is the Jason Marc Golnick's area of specialization and corresponding taxonomy classification?
The Jason Marc Golnick's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did the Jason Marc Golnick receive its 1316915044?
The Jason Marc Golnick was issued its 1316915044 on 2006-03-09, which is the date when the organization was assigned this unique identifier.
On what date did the Jason Marc Golnick receive its 1316915044 assignment from the Centers for Medicare & Medicaid Services?
The Jason Marc Golnick was assigned its 1316915044 by the Centers for Medicare & Medicaid Services on 2006-03-09.
As of what date were the details related to Jason Marc Golnick most recently updated or revised?
The information pertaining to Jason Marc Golnick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN