Michael Lillis Grimes in Monroeville - Pediatric Dentistry
Michael Lillis Grimes - NPI 1306837158
Michael Lillis Grimes is a Pediatric Dentistry in Monroeville, Pennsylvania. Michael Lillis Grimes practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael Lillis Grimes is 1306837158. The last update date is 2007-12-10.
Michael Lillis Grimes's current location address is 2550 Mosside Blvd, Monroeville, Pennsylvania. You can contact this provider via phone number 4128568002. The mailing address for Michael Lillis Grimes is 2550 Mosside Blvd, Monroeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Lillis Grimes |
|---|---|
| Address | 2550 Mosside Blvd, Monroeville, Pennsylvania |
| Phone Number | 4128568002 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1306837158 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2007-12-10 |
Provider Mailing Address Detail
| Address | 2550 Mosside Blvd |
|---|---|
| City | Monroeville |
| State | Pennsylvania (PA) |
| Post Code | 151463540 |
| Phone Number | 4128568002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS-019035-L |
|
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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What is the unique provider identifier assigned to Michael Lillis Grimes?
The Michael Lillis Grimes has been issued the NPI (National Provider Identifier) 1306837158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Michael Lillis Grimes?
The Michael Lillis Grimes is situated at 2550 Mosside Blvd, in the city of Monroeville, state of PA, with the zip code 151463540.
What is the Michael Lillis Grimes's area of specialization and corresponding taxonomy classification?
The Michael Lillis Grimes's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date was the 1306837158 assigned to Michael Lillis Grimes?
The Michael Lillis Grimes was issued its 1306837158 on 2005-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michael Lillis Grimes, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Lillis Grimes, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-10.
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