John Andrew Bukovac in Collinsville - Dentist
John Andrew Bukovac - NPI 1760650790
John Andrew Bukovac is a Dentist in Collinsville, Illinois. John Andrew Bukovac practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Andrew Bukovac is 1760650790. The last update date is 2008-02-12.
John Andrew Bukovac's current location address is 411 W Main St, Collinsville, Illinois. You can contact this provider via phone number 6183454411 and fax number 6183459059. The mailing address for John Andrew Bukovac is 411 W Main St, Collinsville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Andrew Bukovac |
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Address | 411 W Main St, Collinsville, Illinois |
Phone Number | 6183454411 |
Fax Number | 6183459059 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1760650790 |
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Provider Enumeration Date | 2008-02-12 |
Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
Address | 411 W Main St |
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City | Collinsville |
State | Illinois (IL) |
Post Code | 622343004 |
Phone Number | 6183454411 |
Fax Number | 6183459059 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
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 identifier code assigned to John Andrew Bukovac by the Centers for Medicare & Medicaid Services?
The John Andrew Bukovac has been issued the NPI (National Provider Identifier) 1760650790 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Andrew Bukovac?
The John Andrew Bukovac is physically situated at 411 W Main St, in the city of Collinsville, state of IL, with the postal code 622343004.
What is John Andrew Bukovac's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Andrew Bukovac's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did John Andrew Bukovac receive its 1760650790 assignment from the Centers for Medicare & Medicaid Services?
The John Andrew Bukovac was assigned its 1760650790 on 2008-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Andrew Bukovac, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Andrew Bukovac, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-12.
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