Suheil M Boutros in Ypsilanti - Periodontics
Suheil M Boutros - NPI 1558434480
Suheil M Boutros is a Periodontics in Ypsilanti, Michigan. Suheil M Boutros practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Suheil M Boutros is 1558434480. The last update date is 2021-10-01.
Suheil M Boutros's current location address is 5900 Geddes Rd, Ypsilanti, Michigan. You can contact this provider via phone number 7344853994 and fax number 8107324704. The mailing address for Suheil M Boutros is 5900 Geddes Rd, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suheil M Boutros |
|---|---|
| Address | 5900 Geddes Rd, Ypsilanti, Michigan |
| Phone Number | 7344853994 |
| Fax Number | 8107324704 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1558434480 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | 5900 Geddes Rd |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481989556 |
| Phone Number | 7344853994 |
| Fax Number | 8107324704 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 16909 |
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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 Suheil M Boutros's 1558434480?
The Suheil M Boutros's NPI (National Provider Identifier) Number is 1558434480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Suheil M Boutros?
The Suheil M Boutros is situated at 5900 Geddes Rd, in the city of Ypsilanti, state of MI, with the zip code 481989556.
What is Suheil M Boutros's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Suheil M Boutros is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When was the Suheil M Boutros's 1558434480 issued?
The Suheil M Boutros's 1558434480 was issued on 2006-11-16.
When was the information related to Suheil M Boutros most recently updated or refreshed?
The details pertaining to the Suheil M Boutros, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-01.