Paul Jeffrey Brooks in Grand Rapids - Oral And Maxillofacial Surgery
Paul Jeffrey Brooks - NPI 1053406728
Paul Jeffrey Brooks is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. Paul Jeffrey Brooks practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Paul Jeffrey Brooks is 1053406728. The last update date is 2007-07-08.
Paul Jeffrey Brooks's current location address is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167352870 and fax number 6167352871. The mailing address for Paul Jeffrey Brooks is 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Jeffrey Brooks |
|---|---|
| Address | 2140 Lake Michigan Dr Nw, Grand Rapids, Michigan |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053406728 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2140 Lake Michigan Dr Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495044785 |
| Phone Number | 6167352870 |
| Fax Number | 6167352871 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901016571 |
|
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 |
|---|---|---|---|
| 0D111530 | MI | BCBSM | |
| 165710 | MI | BCBSD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul Jeffrey Brooks?
The Paul Jeffrey Brooks has been issued the NPI (National Provider Identifier) 1053406728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Paul Jeffrey Brooks located?
The Paul Jeffrey Brooks is located at 2140 Lake Michigan Dr Nw, Grand Rapids, MI 495044785.
What is Paul Jeffrey Brooks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Jeffrey Brooks is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Paul Jeffrey Brooks receive its 1053406728 assignment from the Centers for Medicare & Medicaid Services?
The Paul Jeffrey Brooks was assigned its 1053406728 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Paul Jeffrey Brooks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul Jeffrey Brooks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.