Robert David Horenkamp in Bloomington - Dentist
Robert David Horenkamp - NPI 1639275308
Robert David Horenkamp is a Dentist in Bloomington, Illinois. Robert David Horenkamp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert David Horenkamp is 1639275308. The last update date is 2007-07-08.
Robert David Horenkamp's current location address is 405 South Prospect Road, Bloomington, Illinois. You can contact this provider via phone number 3096622833 and fax number 3096627862. The mailing address for Robert David Horenkamp is 405 South Prospect Road, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert David Horenkamp |
|---|---|
| Address | 405 South Prospect Road, Bloomington, Illinois |
| Phone Number | 3096622833 |
| Fax Number | 3096627862 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639275308 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 405 South Prospect Road |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61704 |
| Phone Number | 3096622833 |
| Fax Number | 3096627862 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Can you provide the Robert David Horenkamp's physical address?
The Robert David Horenkamp is physically located at 405 South Prospect Road, in the city of Bloomington, IL, with the postal code 61704.
What is the Robert David Horenkamp's area of specialization and corresponding taxonomy classification?
The Robert David Horenkamp's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
What is Robert David Horenkamp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert David Horenkamp is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Robert David Horenkamp receive its 1639275308?
The Robert David Horenkamp was issued its 1639275308 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
On what date did the Robert David Horenkamp receive its 1639275308 assignment from the Centers for Medicare & Medicaid Services?
The Robert David Horenkamp was assigned its 1639275308 by the Centers for Medicare & Medicaid Services on 2006-09-16.