University Physician Group in Detroit - Prosthodontics
University Physician Group - NPI 1275572075
University Physician Group is a Prosthodontics in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for University Physician Group is 1275572075. The last update date is 2016-10-26.
University Physician Group's current location address is 4201 Saint Antoine St, Detroit, Michigan. You can contact this provider via phone number 3137454095 and fax number 3135778555. The mailing address for University Physician Group is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Physician Group |
|---|---|
| Address | 4201 Saint Antoine St, Detroit, Michigan |
| Phone Number | 3137454095 |
| Fax Number | 3135778555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Kohlitz P Jeffery |
| Telephone Number | 2485815930 |
NPI Number Detail
| NPI Number | 1275572075 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
| Address | 4201 Saint Antoine St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137454095 |
| Fax Number | 3135778555 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P32160 | MI | MEDICARE GROUP # - DDS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been issued the NPI (National Provider Identifier) 1275572075 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where University Physician Group is geographically located?
The University Physician Group is physically situated at the following location: 4201 Saint Antoine St, Detroit, MI, 482012153.
What is the University Physician Group's specialty and taxonomy code?
The University Physician Group's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
On what date did the University Physician Group receive the assignment of its 1275572075 from the Centers for Medicare & Medicaid Services?
The University Physician Group was issued its 1275572075 by the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date were the University Physician Group's details last updated?
The information pertaining to the University Physician Group, including its address, specialty, and other details, was most recently updated on 2016-10-26.