Dcp Of Michigan (Lakeside), P.C. in Sterling Heights - Endodontics
Dcp Of Michigan (Lakeside), P.C. - NPI 1962472373
Dcp Of Michigan (Lakeside), P.C. is a Endodontics in Sterling Heights, Michigan. Dcp Of Michigan (Lakeside), P.C. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Dcp Of Michigan (Lakeside), P.C. is 1962472373. The last update date is 2016-12-09.
Dcp Of Michigan (Lakeside), P.C.'s current location address is 14100 Lakeside Cir, Sterling Heights, Michigan. You can contact this provider via phone number 5865669916 and fax number 2165841046. The mailing address for Dcp Of Michigan (Lakeside), P.C. is 14100 Lakeside Cir, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dcp Of Michigan (Lakeside), P.C. |
|---|---|
| Address | 14100 Lakeside Cir, Sterling Heights, Michigan |
| Phone Number | 5865669916 |
| Fax Number | 2165841046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Smith Charles |
| Credentials | DDS |
| Telephone Number | 5862961943 |
NPI Number Detail
| NPI Number | 1962472373 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2016-12-09 |
Provider Mailing Address Detail
| Address | 14100 Lakeside Cir |
|---|---|
| City | Sterling Heights |
| State | Michigan (MI) |
| Post Code | 483131322 |
| Phone Number | 5865669916 |
| Fax Number | 2165841046 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
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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What is the unique 10-digit identification code assigned to Dcp Of Michigan (Lakeside), P.C. by the Centers for Medicare & Medicaid Services?
The Dcp Of Michigan (Lakeside), P.C. has been issued the NPI (National Provider Identifier) 1962472373, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dcp Of Michigan (Lakeside), P.C. located?
The Dcp Of Michigan (Lakeside), P.C. is located at 14100 Lakeside Cir, Sterling Heights, MI 483131322.
What is the area of specialization for Dcp Of Michigan (Lakeside), P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dcp Of Michigan (Lakeside), P.C. is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962472373 to Dcp Of Michigan (Lakeside), P.C.?
The Dcp Of Michigan (Lakeside), P.C. received its 1962472373 assignment from the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the details pertaining to Dcp Of Michigan (Lakeside), P.C. last refreshed?
The information related to the Dcp Of Michigan (Lakeside), P.C., including its address, specialty, and other relevant details, was last updated on 2016-12-09.