Russell S Taichman in Ann Arbor - Periodontics
Russell S Taichman - NPI 1740310473
Russell S Taichman is a Periodontics in Ann Arbor, Michigan. Russell S Taichman practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Russell S Taichman is 1740310473. The last update date is 2007-07-08.
Russell S Taichman's current location address is 2215 Fuller Rd, Ann Arbor, Michigan. You can contact this provider via phone number 7347649952 and fax number 7347635503. The mailing address for Russell S Taichman is 2215 Fuller Rd, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell S Taichman |
|---|---|
| Address | 2215 Fuller Rd, Ann Arbor, Michigan |
| Phone Number | 7347649952 |
| Fax Number | 7347635503 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1740310473 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2215 Fuller Rd |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481052335 |
| Phone Number | 7347649952 |
| Fax Number | 7347635503 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2901016167 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D161670 | MI | BCBS OF MICHIGAN |
Post Comment/ Review Below
What is the Russell S Taichman's unique identification number?
The Russell S Taichman has been assigned the NPI (National Provider Identifier) Number 1740310473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Russell S Taichman is physically located?
The Russell S Taichman is physically situated at the following address: 2215 Fuller Rd, Ann Arbor, MI, 481052335.
What is Russell S Taichman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Russell S Taichman is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Russell S Taichman receive its 1740310473 assignment from the Centers for Medicare & Medicaid Services?
The Russell S Taichman was assigned its 1740310473 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Russell S Taichman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell S Taichman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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