Michael Gerald Coon in Houghton Lake - Dental Laboratory Technician

Michael Gerald Coon - NPI 1598955247

Michael Gerald Coon is a Dental Laboratory Technician in Houghton Lake, Michigan. Michael Gerald Coon practices all healthcare services and medical treatments related to Dental Laboratory Technician. The NPI Number for Michael Gerald Coon is 1598955247. The last update date is 2007-07-30.

Michael Gerald Coon's current location address is 3232 W Houghton Lake Drive, Houghton Lake, Michigan. You can contact this provider via phone number 9893666971. The mailing address for Michael Gerald Coon is 3232 W Houghton Lake Drive, Houghton Lake, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Gerald Coon
Address 3232 W Houghton Lake Drive, Houghton Lake, Michigan
Phone Number 9893666971
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1598955247
Provider Enumeration Date 2007-07-30
Last Updated Date 2007-07-30

Provider Mailing Address Detail

Address 3232 W Houghton Lake Drive
City Houghton Lake
State Michigan (MI)
Post Code 48629
Phone Number 9893666971
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Laboratory Technician
Taxonomy 126900000X
Definition:
An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental labora

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FAQs about Michael Gerald Coon

What is the unique identifier code issued to Michael Gerald Coon by the Centers for Medicare & Medicaid Services?

The Michael Gerald Coon has been assigned the NPI (National Provider Identifier) 1598955247. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Michael Gerald Coon's facilities are situated?

The facilities of Michael Gerald Coon are physically located at the following address: 3232 W Houghton Lake Drive, Houghton Lake, MI, 48629.

What is Michael Gerald Coon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Gerald Coon's area of specialization is Dental Laboratory Technician, and the corresponding taxonomy code that categorizes this field of practice is 126900000X.

On what date did Michael Gerald Coon receive its 1598955247 assignment from the Centers for Medicare & Medicaid Services?

The Michael Gerald Coon was assigned its 1598955247 on 2007-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michael Gerald Coon most recently updated or revised?

The information pertaining to Michael Gerald Coon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-30.

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