Clare Royce Van Wieren in Holland - Oral And Maxillofacial Surgery
Clare Royce Van Wieren - NPI 1649254707
Clare Royce Van Wieren is a Oral And Maxillofacial Surgery in Holland, Michigan. Clare Royce Van Wieren practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Clare Royce Van Wieren is 1649254707. The last update date is 2007-07-09.
Clare Royce Van Wieren's current location address is 601 Michigan Ave, Holland, Michigan. You can contact this provider via phone number 6163925573 and fax number 6163929610. The mailing address for Clare Royce Van Wieren is 601 Michigan Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clare Royce Van Wieren |
|---|---|
| Address | 601 Michigan Ave, Holland, Michigan |
| Phone Number | 6163925573 |
| Fax Number | 6163929610 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1649254707 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 601 Michigan Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494234951 |
| Phone Number | 6163925573 |
| Fax Number | 6163929610 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901009802 |
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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 |
|---|---|---|---|
| 4062988 | MI | -- | |
| 2980529 | MI | -- | |
| 9757063760 | MI | BCBS MEDICAL NUMBER | |
| D098020 | MI | BCBS DENTAL NUMBER |
Post Comment/ Review Below
What is the Clare Royce Van Wieren's unique identification number?
The Clare Royce Van Wieren has been assigned the NPI (National Provider Identifier) Number 1649254707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Clare Royce Van Wieren is geographically located?
The Clare Royce Van Wieren is physically situated at the following location: 601 Michigan Ave, Holland, MI, 494234951.
What is Clare Royce Van Wieren's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clare Royce Van Wieren is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did Clare Royce Van Wieren receive its 1649254707 assignment from the Centers for Medicare & Medicaid Services?
The Clare Royce Van Wieren was assigned its 1649254707 on 2005-12-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clare Royce Van Wieren most recently updated?
The details pertaining to the Clare Royce Van Wieren, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC