Lonny E Zietz in Grand Rapids - Oral And Maxillofacial Surgery
Lonny E Zietz - NPI 1720173529
Lonny E Zietz is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. Lonny E Zietz practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lonny E Zietz is 1720173529. The last update date is 2007-07-13.
Lonny E Zietz's current location address is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167919600. The mailing address for Lonny E Zietz is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lonny E Zietz |
|---|---|
| Address | 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan |
| Phone Number | 6167919600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1720173529 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 2140 Lake Michigan Dr Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495044785 |
| Phone Number | 6167919600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901009665 |
|
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 | BCBSM | |
| 96650 | MI | BCBSD |
Post Comment/ Review Below
What is the unique identifier code issued to Lonny E Zietz by the Centers for Medicare & Medicaid Services (CMS)?
The Lonny E Zietz has been assigned the NPI (National Provider Identifier) 1720173529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Lonny E Zietz's facilities are geographically located?
The facilities of Lonny E Zietz are physically situated at the following location: 2140 Lake Michigan Dr Nw, Grand Rapids, MI, 495044785.
What is Lonny E Zietz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lonny E Zietz is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Lonny E Zietz receive the assignment of its 1720173529 from the Centers for Medicare & Medicaid Services?
The Lonny E Zietz was issued its 1720173529 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Lonny E Zietz last refreshed?
The information related to the Lonny E Zietz, including its address, specialty, and other relevant details, was last updated on 2007-07-13.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL