The Traveling Tooth Station in Farmington Hills - Dental Hygienist

The Traveling Tooth Station - NPI 1063615300

The Traveling Tooth Station is a Dental Hygienist in Farmington Hills, Michigan. The Traveling Tooth Station practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for The Traveling Tooth Station is 1063615300. The last update date is 2015-08-17.

The Traveling Tooth Station's current location address is 30704 Huntsman Dr E, Farmington Hills, Michigan. You can contact this provider via phone number 3132443498. The mailing address for The Traveling Tooth Station is 30704 Huntsman Dr E, Farmington Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Traveling Tooth Station
Address 30704 Huntsman Dr E, Farmington Hills, Michigan
Phone Number 3132443498
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Colbert D Melanie
Credentials R.D.H. BS
Telephone Number 3132443498

NPI Number Detail

NPI Number 1063615300
Provider Enumeration Date 2007-06-06
Last Updated Date 2015-08-17

Provider Mailing Address Detail

Address 30704 Huntsman Dr E
City Farmington Hills
State Michigan (MI)
Post Code 483311378
Phone Number 3132443498
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Hygienist
Taxonomy 124Q00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1063615300 MI --

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FAQs about The Traveling Tooth Station

What is the unique 10-digit identification code assigned to The Traveling Tooth Station by the Centers for Medicare & Medicaid Services?

The The Traveling Tooth Station has been issued the NPI (National Provider Identifier) 1063615300, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where The Traveling Tooth Station is physically located?

The The Traveling Tooth Station is physically situated at the following address: 30704 Huntsman Dr E, Farmington Hills, MI, 483311378.

What is The Traveling Tooth Station's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for The Traveling Tooth Station is Dental Hygienist, and the taxonomy code that classifies this field of practice is 124Q00000X.

On what date did the The Traveling Tooth Station receive the assignment of its 1063615300 from the Centers for Medicare & Medicaid Services?

The The Traveling Tooth Station was issued its 1063615300 by the Centers for Medicare & Medicaid Services on 2007-06-06.

When was the information related to The Traveling Tooth Station most recently updated or refreshed?

The details pertaining to the The Traveling Tooth Station, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-17.

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