Russell T Grimm in Madison - General Practice
Russell T Grimm - NPI 1508085481
Russell T Grimm is a General Practice in Madison, Wisconsin. Russell T Grimm practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell T Grimm is 1508085481. The last update date is 2013-10-08.
Russell T Grimm's current location address is 749 University Row, Madison, Wisconsin. You can contact this provider via phone number 6082387112 and fax number 6082381061. The mailing address for Russell T Grimm is 749 University Row, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell T Grimm |
|---|---|
| Address | 749 University Row, Madison, Wisconsin |
| Phone Number | 6082387112 |
| Fax Number | 6082381061 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508085481 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2013-10-08 |
Provider Mailing Address Detail
| Address | 749 University Row |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53705 |
| Phone Number | 6082387112 |
| Fax Number | 6082381061 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5193 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33759600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Russell T Grimm by the Centers for Medicare & Medicaid Services?
The Russell T Grimm has been issued the NPI (National Provider Identifier) 1508085481 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Russell T Grimm is located?
The Russell T Grimm is situated at the following address: 749 University Row, Madison, WI, 53705.
What is the area of specialization for Russell T Grimm, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell T Grimm is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Russell T Grimm receive the assignment of its 1508085481 from the Centers for Medicare & Medicaid Services?
The Russell T Grimm was issued its 1508085481 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the Russell T Grimm's information last updated?
The Russell T Grimm's information was last updated on 2013-10-08.