Mark Jesin in Grand Rapids - Oral And Maxillofacial Surgery
Mark Jesin - NPI 1184885154
Mark Jesin is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. Mark Jesin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark Jesin is 1184885154. The last update date is 2019-02-13.
Mark Jesin's current location address is 3855 Burton St Se Ste B, Grand Rapids, Michigan. You can contact this provider via phone number 6163690360 and fax number 6163690361. The mailing address for Mark Jesin is 3855 Burton St Se Ste B, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jesin |
|---|---|
| Address | 3855 Burton St Se Ste B, Grand Rapids, Michigan |
| Phone Number | 6163690360 |
| Fax Number | 6163690361 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184885154 |
|---|---|
| Provider Enumeration Date | 2008-06-22 |
| Last Updated Date | 2019-02-13 |
Provider Mailing Address Detail
| Address | 3855 Burton St Se Ste B |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495466147 |
| Phone Number | 6163690360 |
| Fax Number | 6163690361 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | L2299335 |
|
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. |
|
Post Comment/ Review Below
What is the Mark Jesin's 1184885154?
The Mark Jesin's NPI (National Provider Identifier) Number is 1184885154. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Jesin's facilities are geographically located?
The facilities of Mark Jesin are physically situated at the following location: 3855 Burton St Se Ste B, Grand Rapids, MI, 495466147.
What is Mark Jesin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Jesin'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 the Mark Jesin receive its 1184885154 assignment from the Centers for Medicare & Medicaid Services?
The Mark Jesin was assigned its 1184885154 by the Centers for Medicare & Medicaid Services on 2008-06-22.
When was the information related to Mark Jesin most recently updated or refreshed?
The details pertaining to the Mark Jesin, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-13.
NPI Number: 1568465623
Address: 3841 Green Hills Village Dr Ste 200, Nashville, TN
NPI Number: 1407859234
Address: P.o. Box 33679, Los Angeles, CA