Michelle Marie Vanderwal in Tyndall Afb - Dental Hygienist
Michelle Marie Vanderwal - NPI 1770634321
Michelle Marie Vanderwal is a Dental Hygienist in Tyndall Afb, Florida. Michelle Marie Vanderwal practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Michelle Marie Vanderwal is 1770634321. The last update date is 2007-07-08.
Michelle Marie Vanderwal's current location address is 340 Magnolia Cir, Tyndall Afb, Florida. You can contact this provider via phone number 8502837574. The mailing address for Michelle Marie Vanderwal is 340 Magnolia Cir, Tyndall Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Marie Vanderwal |
|---|---|
| Address | 340 Magnolia Cir, Tyndall Afb, Florida |
| Phone Number | 8502837574 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1770634321 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 340 Magnolia Cir |
|---|---|
| City | Tyndall Afb |
| State | Florida (FL) |
| Post Code | 324035604 |
| Phone Number | 8502837574 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | DH 18089 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the Michelle Marie Vanderwal's unique identification number?
The Michelle Marie Vanderwal has been assigned the NPI (National Provider Identifier) Number 1770634321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Michelle Marie Vanderwal?
The Michelle Marie Vanderwal is physically situated at 340 Magnolia Cir, in the city of Tyndall Afb, state of FL, with the postal code 324035604.
What is Michelle Marie Vanderwal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle Marie Vanderwal is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date did the Michelle Marie Vanderwal receive its 1770634321 assignment from the Centers for Medicare & Medicaid Services?
The Michelle Marie Vanderwal was assigned its 1770634321 by the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date were the details pertaining to Michelle Marie Vanderwal last refreshed?
The information related to the Michelle Marie Vanderwal, including its address, specialty, and other relevant details, was last updated on 2007-07-08.