Lary M. Pane, D.D.S.,P.C. in Bellwood - Dentist
Lary M. Pane, D.D.S.,P.C. - NPI 1003080136
Lary M. Pane, D.D.S.,P.C. is a Dentist in Bellwood, Illinois. Lary M. Pane, D.D.S.,P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lary M. Pane, D.D.S.,P.C. is 1003080136. The last update date is 2008-04-18.
Lary M. Pane, D.D.S.,P.C.'s current location address is 4420 Saint Charles Rd, Bellwood, Illinois. You can contact this provider via phone number 7085477160 and fax number 6304260211. The mailing address for Lary M. Pane, D.D.S.,P.C. is 4420 Saint Charles Rd, Bellwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lary M. Pane, D.D.S.,P.C. |
|---|---|
| Address | 4420 Saint Charles Rd, Bellwood, Illinois |
| Phone Number | 7085477160 |
| Fax Number | 6304260211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pane M Lary |
| Credentials | D.D.S.,P.C |
| Telephone Number | 7085477160 |
NPI Number Detail
| NPI Number | 1003080136 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 4420 Saint Charles Rd |
|---|---|
| City | Bellwood |
| State | Illinois (IL) |
| Post Code | 601041157 |
| Phone Number | 7085477160 |
| Fax Number | 6304260211 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1901546 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1005522 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lary M. Pane, D.D.S.,P.C. by the Centers for Medicare & Medicaid Services?
The Lary M. Pane, D.D.S.,P.C. has been assigned the NPI (National Provider Identifier) 1003080136. 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 provide the complete physical location address of Lary M. Pane, D.D.S.,P.C.?
The Lary M. Pane, D.D.S.,P.C. is physically situated at 4420 Saint Charles Rd, in the city of Bellwood, state of IL, with the postal code 601041157.
What is the Lary M. Pane, D.D.S.,P.C.'s specialty and taxonomy code?
The Lary M. Pane, D.D.S.,P.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003080136 to Lary M. Pane, D.D.S.,P.C.?
The Centers for Medicare & Medicaid Services assigned the 1003080136 to Lary M. Pane, D.D.S.,P.C. on 2008-04-18.
When was the Lary M. Pane, D.D.S.,P.C.'s information last updated?
The Lary M. Pane, D.D.S.,P.C.'s information was last updated on 2008-04-18.
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