L Van Ameyde Dds, Pc in Shelby Twp - Oral And Maxillofacial Surgery

L Van Ameyde Dds, Pc - NPI 1700064847

L Van Ameyde Dds, Pc is a Oral And Maxillofacial Surgery in Shelby Twp, Michigan. L Van Ameyde Dds, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for L Van Ameyde Dds, Pc is 1700064847. The last update date is 2008-01-31.

L Van Ameyde Dds, Pc's current location address is 51745 Van Dyke, Shelby Twp, Michigan. You can contact this provider via phone number 5863231600 and fax number 5863231644. The mailing address for L Van Ameyde Dds, Pc is 51745 Van Dyke, Shelby Twp, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization L Van Ameyde Dds, Pc
Address 51745 Van Dyke, Shelby Twp, Michigan
Phone Number 5863231600
Fax Number 5863231644
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ORAL SURGE
Authorized Official Name Van Ameyde Larry
Telephone Number 5863231600

NPI Number Detail

NPI Number 1700064847
Provider Enumeration Date 2008-01-31
Last Updated Date 2008-01-31

Provider Mailing Address Detail

Address 51745 Van Dyke
City Shelby Twp
State Michigan (MI)
Post Code 48316
Phone Number 5863231600
Fax Number 5863231644

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 10374
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9755011140 MI BCBS ID #

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FAQs about L Van Ameyde Dds, Pc

What is the unique 10-digit identification code assigned to L Van Ameyde Dds, Pc by the Centers for Medicare & Medicaid Services?

The L Van Ameyde Dds, Pc has been issued the NPI (National Provider Identifier) 1700064847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of L Van Ameyde Dds, Pc?

The L Van Ameyde Dds, Pc is situated at 51745 Van Dyke, in the city of Shelby Twp, state of MI, with the zip code 48316.

What is the L Van Ameyde Dds, Pc's area of specialization and corresponding taxonomy classification?

The L Van Ameyde Dds, Pc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.

On what date did L Van Ameyde Dds, Pc receive its 1700064847 assignment from the Centers for Medicare & Medicaid Services?

The L Van Ameyde Dds, Pc was assigned its 1700064847 on 2008-01-31, 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 pertaining to L Van Ameyde Dds, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to L Van Ameyde Dds, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-31.

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