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Dr. Wallace Spurgeon Colvin III, DDS
General Practice Dentistry in Mount Clemens, Michigan
NPI 1730247222

Wallace Spurgeon Colvin III is a General Practice Dentistry based in Mount Clemens, MI and is specialized in General Practice. Wallace Spurgeon Colvin III practices in Mount Clemens, MI and has the professional credentials of DDS. The NPI Number for Wallace Spurgeon Colvin III is 1730247222 and holds a License No. 2901016347 (Michigan).

The current practice location address for Wallace Spurgeon Colvin III is 69 Southbound Gratiot Ave, Mount Clemens, MI and can be reached out via phone at 586-783-7000 and via fax at 586-783-7003.

Location: 69 Southbound Gratiot Ave, Mount Clemens, MI, 48043-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730247222
Provider Name
Wallace Spurgeon Colvin III
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
69 Southbound Gratiot Ave, Mount Clemens, MI, 48043-5545
Phone Number
586-783-7000
Fax Number
586-783-7003
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4263930 05 MI
institution
Provider Business Practice Location Address Details
Address
69 Southbound Gratiot Ave
City
Mount Clemens
State
Michigan
Zip
48043-5545
Phone Number
586-783-7000
Fax Number
586-783-7003
person
Provider Business Mailing Address Details
Address
69 Southbound Gratiot Ave
City
Mount Clemens
State
Michigan
Zip
48043-5545
Phone Number
586-783-7000
Fax Number
586-783-7003
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901016347 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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