Robert E Blagg is a Dentist in Charleston, Illinois. Robert E Blagg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert E Blagg is 1548313463. The last update date is 2007-07-08.
Robert E Blagg's current location address is 1063 10th St, Charleston, Illinois. You can contact this provider via phone number 2173453352. The mailing address for Robert E Blagg is 1063 10th St, Charleston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert E Blagg |
|---|---|
| Address | 1063 10th St, Charleston, Illinois |
| Phone Number | 2173453352 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548313463 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1063 10th St |
|---|---|
| City | Charleston |
| State | Illinois (IL) |
| Post Code | 619202885 |
| Phone Number | 2173453352 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | A11276 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1001239 | IL | -- |
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What is the unique 10-digit identifier code issued to Robert E Blagg by the Centers for Medicare & Medicaid Services?
The Robert E Blagg has been assigned the NPI (National Provider Identifier) 1548313463 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert E Blagg?
The Robert E Blagg is situated at 1063 10Th St, in the city of Charleston, state of IL, with the zip code 619202885.
What is Robert E Blagg's area of expertise and its corresponding taxonomy classification?
The Robert E Blagg's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Robert E Blagg's 1548313463 issued?
The Robert E Blagg's 1548313463 was issued on 2007-01-22.
When was the information regarding Robert E Blagg most recently updated?
The details pertaining to the Robert E Blagg, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.