Eastside Dental Specialists Pllc in Eastpointe - Prosthodontics
Eastside Dental Specialists Pllc - NPI 1740324052
Eastside Dental Specialists Pllc is a Prosthodontics in Eastpointe, Michigan. Eastside Dental Specialists Pllc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Eastside Dental Specialists Pllc is 1740324052. The last update date is 2020-08-22.
Eastside Dental Specialists Pllc's current location address is 24901 Kelly Rd, Eastpointe, Michigan. You can contact this provider via phone number 5867722090 and fax number 5867720742. The mailing address for Eastside Dental Specialists Pllc is 24901 Kelly Rd, Eastpointe, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Eastside Dental Specialists Pllc |
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Address | 24901 Kelly Rd, Eastpointe, Michigan |
Phone Number | 5867722090 |
Fax Number | 5867720742 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Shore Leonard Robert |
Credentials | DDS |
Telephone Number | 5867722090 |
NPI Number Detail
NPI Number | 1740324052 |
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Provider Enumeration Date | 2007-02-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 24901 Kelly Rd |
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City | Eastpointe |
State | Michigan (MI) |
Post Code | 480211367 |
Phone Number | 5867722090 |
Fax Number | 5867720742 |
Provider's Primary Taxonomy Detail
Speciality | Prosthodontics |
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Taxonomy | 1223P0700X |
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identification code issued to Eastside Dental Specialists Pllc by the Centers for Medicare & Medicaid Services?
The Eastside Dental Specialists Pllc has been assigned the NPI (National Provider Identifier) 1740324052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eastside Dental Specialists Pllc's physical address?
The Eastside Dental Specialists Pllc is physically located at 24901 Kelly Rd, in the city of Eastpointe, MI, with the postal code 480211367.
What is the area of specialization for Eastside Dental Specialists Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eastside Dental Specialists Pllc is Prosthodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0700X.
When did Eastside Dental Specialists Pllc receive its 1740324052 assignment?
The Eastside Dental Specialists Pllc was assigned its 1740324052 on 2007-02-19, which is the date when this unique identifier was issued to the organization.
When was the Eastside Dental Specialists Pllc's information last updated?
The Eastside Dental Specialists Pllc's information was last updated on 2020-08-22.