Rickie W. Penny in Belleville - Dentist

Rickie W. Penny - NPI 1134285240

Rickie W. Penny is a Dentist in Belleville, Illinois. Rickie W. Penny practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rickie W. Penny is 1134285240. The last update date is 2007-07-08.

Rickie W. Penny's current location address is 2262 Country Rd, Belleville, Illinois. You can contact this provider via phone number 6182362301 and fax number 6182362301. The mailing address for Rickie W. Penny is 2262 Country Rd, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Rickie W. Penny
Address 2262 Country Rd, Belleville, Illinois
Phone Number 6182362301
Fax Number 6182362301
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1134285240
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2262 Country Rd
City Belleville
State Illinois (IL)
Post Code 622212576
Phone Number 6182362301
Fax Number 6182362301

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Rickie W. Penny

What is the unique identification code assigned to Rickie W. Penny by the Centers for Medicare & Medicaid Services?

The Rickie W. Penny has been issued the NPI (National Provider Identifier) 1134285240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Rickie W. Penny?

The Rickie W. Penny is situated at 2262 Country Rd, in the city of Belleville, state of IL, with the zip code 622212576.

What is Rickie W. Penny's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rickie W. Penny is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did Rickie W. Penny receive its 1134285240 assignment from the Centers for Medicare & Medicaid Services?

The Rickie W. Penny was assigned its 1134285240 on 2007-01-01, 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 Rickie W. Penny most recently updated or revised?

The information pertaining to Rickie W. Penny, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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