Periodontal Specialists Of Grand Blanc Pc in Grand Blanc - Periodontics
Periodontal Specialists Of Grand Blanc Pc - NPI 1780861484
Periodontal Specialists Of Grand Blanc Pc is a Periodontics in Grand Blanc, Michigan. Periodontal Specialists Of Grand Blanc Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Specialists Of Grand Blanc Pc is 1780861484. The last update date is 2008-01-24.
Periodontal Specialists Of Grand Blanc Pc's current location address is 8185 Holly Rd, Grand Blanc, Michigan. You can contact this provider via phone number 8106956444. The mailing address for Periodontal Specialists Of Grand Blanc Pc is 8185 Holly Rd, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Specialists Of Grand Blanc Pc |
|---|---|
| Address | 8185 Holly Rd, Grand Blanc, Michigan |
| Phone Number | 8106956444 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Coggins Lynn Kelly |
| Telephone Number | 8106956444 |
NPI Number Detail
| NPI Number | 1780861484 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | 8185 Holly Rd |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484392444 |
| Phone Number | 8106956444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 16909 |
|
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 Periodontal Specialists Of Grand Blanc Pc's unique identification number?
The Periodontal Specialists Of Grand Blanc Pc has been assigned the NPI (National Provider Identifier) Number 1780861484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Periodontal Specialists Of Grand Blanc Pc's physical address?
The Periodontal Specialists Of Grand Blanc Pc is physically located at 8185 Holly Rd, in the city of Grand Blanc, MI, with the postal code 484392444.
What is the Periodontal Specialists Of Grand Blanc Pc's specialty and taxonomy code?
The Periodontal Specialists Of Grand Blanc Pc's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Periodontal Specialists Of Grand Blanc Pc receive the assignment of its 1780861484 from the Centers for Medicare & Medicaid Services?
The Periodontal Specialists Of Grand Blanc Pc was issued its 1780861484 by the Centers for Medicare & Medicaid Services on 2008-01-24.
When was the Periodontal Specialists Of Grand Blanc Pc's information last updated?
The Periodontal Specialists Of Grand Blanc Pc's information was last updated on 2008-01-24.
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