Candace M Opon Dds in Crystal Lake - Dentist
Candace M Opon Dds - NPI 1972717247
Candace M Opon Dds is a Dentist in Crystal Lake, Illinois. Candace M Opon Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Candace M Opon Dds is 1972717247. The last update date is 2008-06-12.
Candace M Opon Dds's current location address is 690 N Route 31, Crystal Lake, Illinois. You can contact this provider via phone number 8154772177 and fax number 8154778671. The mailing address for Candace M Opon Dds is 690 N Route 31, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Candace M Opon Dds |
|---|---|
| Address | 690 N Route 31, Crystal Lake, Illinois |
| Phone Number | 8154772177 |
| Fax Number | 8154778671 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Opon M Candace |
| Credentials | DDS |
| Telephone Number | 8154772177 |
NPI Number Detail
| NPI Number | 1972717247 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 690 N Route 31 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 60012 |
| Phone Number | 8154772177 |
| Fax Number | 8154778671 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19023866 |
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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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Post Comment/ Review Below
What is the Candace M Opon Dds's 1972717247?
The Candace M Opon Dds's NPI (National Provider Identifier) Number is 1972717247. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Candace M Opon Dds?
The Candace M Opon Dds is situated at 690 N Route 31, in the city of Crystal Lake, state of IL, with the zip code 60012.
What is Candace M Opon Dds's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Candace M Opon Dds is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972717247 to Candace M Opon Dds?
The Candace M Opon Dds received its 1972717247 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information pertaining to Candace M Opon Dds most recently updated or revised?
The details related to Candace M Opon Dds, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-12.