Kathleen Marie Eisin in Grand Rapids - Periodontics
Kathleen Marie Eisin - NPI 1386780666
Kathleen Marie Eisin is a Periodontics in Grand Rapids, Michigan. Kathleen Marie Eisin practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kathleen Marie Eisin is 1386780666. The last update date is 2007-07-08.
Kathleen Marie Eisin's current location address is 6677 Crossings Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166560100 and fax number 6166560400. The mailing address for Kathleen Marie Eisin is 6677 Crossings Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Eisin |
|---|---|
| Address | 6677 Crossings Dr Se, Grand Rapids, Michigan |
| Phone Number | 6166560100 |
| Fax Number | 6166560400 |
| Sole Proprietor | Y |
| Credentials | D.D.S, M.S |
NPI Number Detail
| NPI Number | 1386780666 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6677 Crossings Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495087889 |
| Phone Number | 6166560100 |
| Fax Number | 6166560400 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2901018765 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Kathleen Marie Eisin by the Centers for Medicare & Medicaid Services?
The Kathleen Marie Eisin has been assigned the NPI (National Provider Identifier) 1386780666. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen Marie Eisin is physically located?
The Kathleen Marie Eisin is physically situated at the following address: 6677 Crossings Dr Se, Grand Rapids, MI, 495087889.
What is Kathleen Marie Eisin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen Marie Eisin's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did Kathleen Marie Eisin receive its 1386780666 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Marie Eisin was assigned its 1386780666 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kathleen Marie Eisin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen Marie Eisin, 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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