Carlos Juan Roa is a Dentist in Chillicothe, Illinois. Carlos Juan Roa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carlos Juan Roa is 1821152455. The last update date is 2007-07-08.
Carlos Juan Roa's current location address is Po Box 316, Chillicothe, Illinois. You can contact this provider via phone number 3092746237 and fax number 3092742144. The mailing address for Carlos Juan Roa is Po Box 316, Chillicothe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlos Juan Roa |
|---|---|
| Address | Po Box 316, Chillicothe, Illinois |
| Phone Number | 3092746237 |
| Fax Number | 3092742144 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821152455 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 316 |
|---|---|
| City | Chillicothe |
| State | Illinois (IL) |
| Post Code | 61523 |
| Phone Number | 3092746237 |
| Fax Number | 3092742144 |
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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What is the unique identification code assigned to Carlos Juan Roa by the Centers for Medicare & Medicaid Services?
The Carlos Juan Roa has been issued the NPI (National Provider Identifier) 1821152455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carlos Juan Roa's physical address?
The Carlos Juan Roa is physically located at Po Box 316, in the city of Chillicothe, IL, with the postal code 61523.
What is the Carlos Juan Roa's area of specialization and corresponding taxonomy classification?
The Carlos Juan Roa's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1821152455 to Carlos Juan Roa?
The Centers for Medicare & Medicaid Services assigned the 1821152455 to Carlos Juan Roa on 2006-12-20.
When was the information related to Carlos Juan Roa most recently updated or refreshed?
The details pertaining to the Carlos Juan Roa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
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