David Wesley Bacheller in Champaign - Dentist
David Wesley Bacheller - NPI 1801051552
David Wesley Bacheller is a Dentist in Champaign, Illinois. David Wesley Bacheller practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Wesley Bacheller is 1801051552. The last update date is 2008-07-22.
David Wesley Bacheller's current location address is 305 W Clark St, Champaign, Illinois. You can contact this provider via phone number 2173525031. The mailing address for David Wesley Bacheller is 305 W Clark St, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wesley Bacheller |
|---|---|
| Address | 305 W Clark St, Champaign, Illinois |
| Phone Number | 2173525031 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801051552 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 305 W Clark St |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618204638 |
| Phone Number | 2173525031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-024525 |
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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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What is the unique 10-digit identification code issued to David Wesley Bacheller by the Centers for Medicare & Medicaid Services?
The David Wesley Bacheller has been assigned the NPI (National Provider Identifier) 1801051552 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where David Wesley Bacheller is physically located?
The David Wesley Bacheller is physically situated at the following address: 305 W Clark St, Champaign, IL, 618204638.
What is the area of specialization for David Wesley Bacheller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Wesley Bacheller is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801051552 to David Wesley Bacheller?
The David Wesley Bacheller received its 1801051552 assignment from the Centers for Medicare & Medicaid Services on 2008-07-22.
When was the David Wesley Bacheller's information last updated?
The David Wesley Bacheller's information was last updated on 2008-07-22.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN