Richard J Persiani in West Bloomfield - Prosthodontics
Richard J Persiani - NPI 1770625055
Richard J Persiani is a Prosthodontics in West Bloomfield, Michigan. Richard J Persiani practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Richard J Persiani is 1770625055. The last update date is 2012-03-07.
Richard J Persiani's current location address is 6177 Orchard Lake Road, West Bloomfield, Michigan. You can contact this provider via phone number 2488556655 and fax number 2488550803. The mailing address for Richard J Persiani is 6177 Orchard Lake Road, West Bloomfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J Persiani |
|---|---|
| Address | 6177 Orchard Lake Road, West Bloomfield, Michigan |
| Phone Number | 2488556655 |
| Fax Number | 2488550803 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1770625055 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
| Address | 6177 Orchard Lake Road |
|---|---|
| City | West Bloomfield |
| State | Michigan (MI) |
| Post Code | 48322 |
| Phone Number | 2488556655 |
| Fax Number | 2488550803 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2901010565 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2758821 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard J Persiani by the Centers for Medicare & Medicaid Services?
The Richard J Persiani has been issued the NPI (National Provider Identifier) 1770625055. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard J Persiani's facilities are geographically located?
The facilities of Richard J Persiani are physically situated at the following location: 6177 Orchard Lake Road, West Bloomfield, MI, 48322.
What is Richard J Persiani's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard J Persiani's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770625055 to Richard J Persiani?
The Centers for Medicare & Medicaid Services originally issued the 1770625055 to Richard J Persiani on 2007-02-13.
As of what date was the information pertaining to Richard J Persiani, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard J Persiani, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-07.