Michigan City Family Dentistry in Portage - Periodontics
Michigan City Family Dentistry - NPI 1417150137
Michigan City Family Dentistry is a Periodontics in Portage, Indiana. Michigan City Family Dentistry practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michigan City Family Dentistry is 1417150137. The last update date is 2020-08-22.
Michigan City Family Dentistry's current location address is 6044 Lute Rd, Portage, Indiana. You can contact this provider via phone number 2197644004 and fax number 2197644031. The mailing address for Michigan City Family Dentistry is 6044 Lute Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan City Family Dentistry |
|---|---|
| Address | 6044 Lute Rd, Portage, Indiana |
| Phone Number | 2197644004 |
| Fax Number | 2197644031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Ayangade Denise Creshinda |
| Credentials | DMD |
| Telephone Number | 2197644004 |
NPI Number Detail
| NPI Number | 1417150137 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6044 Lute Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463685008 |
| Phone Number | 2197644004 |
| Fax Number | 2197644031 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
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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Post Comment/ Review Below
What is the unique identification code assigned to Michigan City Family Dentistry by the Centers for Medicare & Medicaid Services?
The Michigan City Family Dentistry has been issued the NPI (National Provider Identifier) 1417150137. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michigan City Family Dentistry?
The Michigan City Family Dentistry is physically situated at 6044 Lute Rd, in the city of Portage, state of IN, with the postal code 463685008.
What is Michigan City Family Dentistry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michigan City Family Dentistry's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417150137 to Michigan City Family Dentistry?
The Michigan City Family Dentistry received its 1417150137 assignment from the Centers for Medicare & Medicaid Services on 2007-06-08.
When was the information regarding Michigan City Family Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michigan City Family Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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