Jeffrey Schaefer Smith in Grandville - Periodontics

Jeffrey Schaefer Smith - NPI 1700818440

Jeffrey Schaefer Smith is a Periodontics in Grandville, Michigan. Jeffrey Schaefer Smith practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Schaefer Smith is 1700818440. The last update date is 2007-07-08.

Jeffrey Schaefer Smith's current location address is 3050 Ivanrest Ave Sw, Grandville, Michigan. You can contact this provider via phone number 6165311554 and fax number 6165316947. The mailing address for Jeffrey Schaefer Smith is 3050 Ivanrest Ave Sw, Grandville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Schaefer Smith
Address 3050 Ivanrest Ave Sw, Grandville, Michigan
Phone Number 6165311554
Fax Number 6165316947
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1700818440
Provider Enumeration Date 2006-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3050 Ivanrest Ave Sw
City Grandville
State Michigan (MI)
Post Code 494181400
Phone Number 6165311554
Fax Number 6165316947

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13205
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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FAQs about Jeffrey Schaefer Smith

What is the Jeffrey Schaefer Smith's unique identification number?

The Jeffrey Schaefer Smith has been assigned the NPI (National Provider Identifier) Number 1700818440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jeffrey Schaefer Smith's physical address?

The Jeffrey Schaefer Smith is physically located at 3050 Ivanrest Ave Sw, in the city of Grandville, MI, with the postal code 494181400.

What is Jeffrey Schaefer Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Schaefer Smith is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Jeffrey Schaefer Smith receive the assignment of its 1700818440 from the Centers for Medicare & Medicaid Services?

The Jeffrey Schaefer Smith was issued its 1700818440 by the Centers for Medicare & Medicaid Services on 2006-07-06.

When was the information regarding Jeffrey Schaefer Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Schaefer Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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