Camilo Machado in St. Clair Shores - Prosthodontics

Camilo Machado - NPI 1710025499

Camilo Machado is a Prosthodontics in St. Clair Shores, Michigan. Camilo Machado practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Camilo Machado is 1710025499. The last update date is 2021-11-19.

Camilo Machado's current location address is 31315 Harper Avenue, St. Clair Shores, Michigan. You can contact this provider via phone number 5862933434 and fax number 6142929422. The mailing address for Camilo Machado is 31315 Harper Avenue, St. Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Camilo Machado
Address 31315 Harper Avenue, St. Clair Shores, Michigan
Phone Number 5862933434
Fax Number 6142929422
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1710025499
Provider Enumeration Date 2007-02-02
Last Updated Date 2021-11-19

Provider Mailing Address Detail

Address 31315 Harper Avenue
City St. Clair Shores
State Michigan (MI)
Post Code 48082
Phone Number 5862933434
Fax Number 6142929422

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 71-000189
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
71000189 OH OHIO STATE LICENSE NUMBER

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FAQs about Camilo Machado

What is the unique provider identifier assigned to Camilo Machado?

The Camilo Machado has been issued the NPI (National Provider Identifier) 1710025499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Camilo Machado is geographically located?

The Camilo Machado is physically situated at the following location: 31315 Harper Avenue, St. Clair Shores, MI, 48082.

What is Camilo Machado'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 Camilo Machado is Prosthodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0700X.

On what date did Camilo Machado receive its 1710025499 assignment from the Centers for Medicare & Medicaid Services?

The Camilo Machado was assigned its 1710025499 on 2007-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information pertaining to Camilo Machado, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-19.

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