Gary R Dettman is a Dentist in Marengo, Illinois. Gary R Dettman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary R Dettman is 1851470470. The last update date is 2008-09-09.
Gary R Dettman's current location address is 110 E Washington St, Marengo, Illinois. You can contact this provider via phone number 8155681202. The mailing address for Gary R Dettman is 110 E Washington St, Marengo, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary R Dettman |
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Address | 110 E Washington St, Marengo, Illinois |
Phone Number | 8155681202 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1851470470 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2008-09-09 |
Provider Mailing Address Detail
Address | 110 E Washington St |
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City | Marengo |
State | Illinois (IL) |
Post Code | 601523107 |
Phone Number | 8155681202 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 019-020199 |
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 Gary R Dettman's 1851470470?
The Gary R Dettman's NPI (National Provider Identifier) Number is 1851470470. 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 Gary R Dettman?
The Gary R Dettman is situated at 110 E Washington St, in the city of Marengo, state of IL, with the zip code 601523107.
What is Gary R Dettman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary R Dettman's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Gary R Dettman receive its 1851470470 assignment from the Centers for Medicare & Medicaid Services?
The Gary R Dettman was assigned its 1851470470 on 2006-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gary R Dettman most recently updated or refreshed?
The details pertaining to the Gary R Dettman, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-09.