Reginald Bernard Jewell in Detroit - General Practice
Reginald Bernard Jewell - NPI 1053527812
Reginald Bernard Jewell is a General Practice in Detroit, Michigan. Reginald Bernard Jewell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Reginald Bernard Jewell is 1053527812. The last update date is 2007-07-08.
Reginald Bernard Jewell's current location address is 19135 Grand River Ave, Detroit, Michigan. You can contact this provider via phone number 3135357770. The mailing address for Reginald Bernard Jewell is 19135 Grand River Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald Bernard Jewell |
|---|---|
| Address | 19135 Grand River Ave, Detroit, Michigan |
| Phone Number | 3135357770 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053527812 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19135 Grand River Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482231704 |
| Phone Number | 3135357770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17336 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Reginald Bernard Jewell by the Centers for Medicare & Medicaid Services?
The Reginald Bernard Jewell has been issued the NPI (National Provider Identifier) 1053527812, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Reginald Bernard Jewell?
The Reginald Bernard Jewell is situated at 19135 Grand River Ave, in the city of Detroit, state of MI, with the zip code 482231704.
What is the area of specialization for Reginald Bernard Jewell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Reginald Bernard Jewell is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053527812 to Reginald Bernard Jewell?
The Centers for Medicare & Medicaid Services originally issued the 1053527812 to Reginald Bernard Jewell on 2007-05-15.
As of what date was the information regarding Reginald Bernard Jewell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reginald Bernard Jewell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.