John Mason Hackenberger in Warren - Oral And Maxillofacial Surgery
John Mason Hackenberger - NPI 1790730406
John Mason Hackenberger is a Oral And Maxillofacial Surgery in Warren, Michigan. John Mason Hackenberger practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Mason Hackenberger is 1790730406. The last update date is 2009-07-24.
John Mason Hackenberger's current location address is 29425 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5867559340 and fax number 5867559341. The mailing address for John Mason Hackenberger is 29425 Ryan Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mason Hackenberger |
|---|---|
| Address | 29425 Ryan Rd, Warren, Michigan |
| Phone Number | 5867559340 |
| Fax Number | 5867559341 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790730406 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2009-07-24 |
Provider Mailing Address Detail
| Address | 29425 Ryan Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480922203 |
| Phone Number | 5867559340 |
| Fax Number | 5867559341 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901016237 |
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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 |
|---|---|---|---|
| 970E07680 | MI | BLUE CROSS PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Mason Hackenberger by the Centers for Medicare & Medicaid Services?
The John Mason Hackenberger has been assigned the NPI (National Provider Identifier) 1790730406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Mason Hackenberger is located?
The John Mason Hackenberger is situated at the following address: 29425 Ryan Rd, Warren, MI, 480922203.
What is John Mason Hackenberger's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Mason Hackenberger's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the John Mason Hackenberger receive its 1790730406 assignment from the Centers for Medicare & Medicaid Services?
The John Mason Hackenberger was assigned its 1790730406 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date was the information pertaining to John Mason Hackenberger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Mason Hackenberger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-24.