Keith A. Nalley in Grand Haven - Oral And Maxillofacial Surgery
Keith A. Nalley - NPI 1528041605
Keith A. Nalley is a Oral And Maxillofacial Surgery in Grand Haven, Michigan. Keith A. Nalley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Keith A. Nalley is 1528041605. The last update date is 2010-09-10.
Keith A. Nalley's current location address is 919 S Beechtree St, Grand Haven, Michigan. You can contact this provider via phone number 6168445135 and fax number 6168445181. The mailing address for Keith A. Nalley is 919 S Beechtree St, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A. Nalley |
|---|---|
| Address | 919 S Beechtree St, Grand Haven, Michigan |
| Phone Number | 6168445135 |
| Fax Number | 6168445181 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1528041605 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2010-09-10 |
Provider Mailing Address Detail
| Address | 919 S Beechtree St |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494172384 |
| Phone Number | 6168445135 |
| Fax Number | 6168445181 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901014734 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2901014734 | MI | STATE LICENSE # |
Post Comment/ Review Below
What is the Keith A. Nalley's unique identification number?
The Keith A. Nalley has been assigned the NPI (National Provider Identifier) Number 1528041605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Keith A. Nalley is physically located?
The Keith A. Nalley is physically situated at the following address: 919 S Beechtree St, Grand Haven, MI, 494172384.
When did the Keith A. Nalley receive its 1528041605?
The Keith A. Nalley was issued its 1528041605 on 2005-11-22, which is the date when the organization was assigned this unique identifier.
On what date did the Keith A. Nalley receive its 1528041605 assignment from the Centers for Medicare & Medicaid Services?
The Keith A. Nalley was assigned its 1528041605 by the Centers for Medicare & Medicaid Services on 2005-11-22.
As of what date were the details related to Keith A. Nalley most recently updated or revised?
The information pertaining to Keith A. Nalley, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-10.