Wallace Spurgeon Colvin III, D.D.S.

General Practice Dentistry · Mount Clemens, MI

Individual Active NPI

NPI number 1730247222

Practice location

69 Southbound Gratiot Ave
Mount Clemens, MI 48043-5545
Phone
(586) 783-7000
Fax
(586) 783-7003

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NPI record

NPI
1730247222
Entity type
Individual (Type 1)
Enumeration date
December 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901016347 MI

About Dr. Colvin

Wallace Spurgeon Colvin III, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 69 Southbound Gratiot Ave, Mount Clemens, MI 48043-5545. The NPI number 1730247222 was assigned on December 5, 2006 and the record was last updated on July 8, 2007.

Dr. Colvin lists a license in the registry: #2901016347 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wallace Spurgeon Colvin III, D.D.S.?

The NPI number is 1730247222.

What is the phone number of Dr. Colvin?

The phone number listed for the practice location is (586) 783-7000.

Where is Dr. Colvin located?

69 Southbound Gratiot Ave, Mount Clemens, MI 48043-5545.

What is the taxonomy code for Dr. Colvin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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