James Mark Domin in Grand Rapids - Oral And Maxillofacial Surgery
James Mark Domin - NPI 1891880654
James Mark Domin is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. James Mark Domin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for James Mark Domin is 1891880654. The last update date is 2007-07-09.
James Mark Domin's current location address is 847 Parchment Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167352870 and fax number 6167352871. The mailing address for James Mark Domin is 847 Parchment Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Mark Domin |
|---|---|
| Address | 847 Parchment Dr Se, Grand Rapids, Michigan |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891880654 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 847 Parchment Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462303 |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901016850 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0D111530 | MI | BCBS | |
| 168500 | MI | BCBSD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James Mark Domin by the Centers for Medicare & Medicaid Services?
The James Mark Domin has been issued the NPI (National Provider Identifier) 1891880654 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the James Mark Domin's physical address?
The James Mark Domin is physically located at 847 Parchment Dr Se, in the city of Grand Rapids, MI, with the postal code 495462303.
What is James Mark Domin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Mark Domin's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did James Mark Domin receive its 1891880654 assignment from the Centers for Medicare & Medicaid Services?
The James Mark Domin was assigned its 1891880654 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to James Mark Domin most recently updated or refreshed?
The details pertaining to the James Mark Domin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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