Michael Israel is a Periodontics in Waterbury, Connecticut. Michael Israel practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michael Israel is 1710008842. The last update date is 2007-07-08.
Michael Israel's current location address is 26 Lakeside Blvd E, Waterbury, Connecticut. You can contact this provider via phone number 2037544123 and fax number 2037542716. The mailing address for Michael Israel is 26 Lakeside Blvd E, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Israel |
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Address | 26 Lakeside Blvd E, Waterbury, Connecticut |
Phone Number | 2037544123 |
Fax Number | 2037542716 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1710008842 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 26 Lakeside Blvd E |
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City | Waterbury |
State | Connecticut (CT) |
Post Code | 67082913 |
Phone Number | 2037544123 |
Fax Number | 2037542716 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 5218 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Michael Israel by the Centers for Medicare & Medicaid Services?
The Michael Israel has been issued the NPI (National Provider Identifier) 1710008842. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Israel located?
The Michael Israel is located at 26 Lakeside Blvd E, Waterbury, CT 67082913.
What is Michael Israel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Israel is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710008842 to Michael Israel?
The Michael Israel received its 1710008842 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the details related to Michael Israel most recently updated or revised?
The information pertaining to Michael Israel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.