Susan Weller is a Dentist in Jackson, Illinois. Susan Weller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susan Weller is 1740350529. The last update date is 2007-07-08.
Susan Weller's current location address is 1614 West Lafayette Avenue, Jackson, Illinois. You can contact this provider via phone number 2172431114 and fax number 2172457906. The mailing address for Susan Weller is 1614 West Lafayette Avenue, Jackson, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Weller |
---|---|
Address | 1614 West Lafayette Avenue, Jackson, Illinois |
Phone Number | 2172431114 |
Fax Number | 2172457906 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1740350529 |
---|---|
Provider Enumeration Date | 2006-11-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1614 West Lafayette Avenue |
---|---|
City | Jackson |
State | Illinois (IL) |
Post Code | 62650 |
Phone Number | 2172431114 |
Fax Number | 2172457906 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
---|---|
Taxonomy | 122300000X |
Licence No | 1918328 |
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 |
Post Comment/ Review Below
What is the Susan Weller's unique identification number?
The Susan Weller has been assigned the NPI (National Provider Identifier) Number 1740350529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Susan Weller's facilities are situated?
The facilities of Susan Weller are physically located at the following address: 1614 West Lafayette Avenue, Jackson, IL, 62650.
What is Susan Weller's area of expertise and its corresponding taxonomy classification?
The Susan Weller's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Weller receive its 1740350529 assignment from the Centers for Medicare & Medicaid Services?
The Susan Weller was assigned its 1740350529 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Susan Weller's details last updated?
The information pertaining to the Susan Weller, including its address, specialty, and other details, was most recently updated on 2007-07-08.