Wesley Ichesco is a Endodontics in Ann Arbor, Michigan. Wesley Ichesco practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Wesley Ichesco is 1710041082. The last update date is 2007-07-08.
Wesley Ichesco's current location address is 2330 E Stadium Blvd, Ann Arbor, Michigan. You can contact this provider via phone number 7479732727 and fax number 7349738858. The mailing address for Wesley Ichesco is 2330 E Stadium Blvd, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wesley Ichesco |
|---|---|
| Address | 2330 E Stadium Blvd, Ann Arbor, Michigan |
| Phone Number | 7479732727 |
| Fax Number | 7349738858 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1710041082 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2330 E Stadium Blvd |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481044820 |
| Phone Number | 7479732727 |
| Fax Number | 7349738858 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 2901013159 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the unique identifier code issued to Wesley Ichesco by the Centers for Medicare & Medicaid Services (CMS)?
The Wesley Ichesco has been assigned the NPI (National Provider Identifier) 1710041082. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Wesley Ichesco is physically located?
The Wesley Ichesco is situated at the following address: 2330 E Stadium Blvd, Ann Arbor, MI 481044820.
What is Wesley Ichesco's area of expertise and its corresponding taxonomy classification?
The Wesley Ichesco's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710041082 to Wesley Ichesco?
The Wesley Ichesco received its 1710041082 assignment from the Centers for Medicare & Medicaid Services on 2006-12-21.
As of what date was the information regarding Wesley Ichesco, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wesley Ichesco, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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