Troy James Roeder is a Dentist in Moline, Illinois. Troy James Roeder practices all healthcare services and medical treatments related to Dentist. The NPI Number for Troy James Roeder is 1811059413. The last update date is 2007-07-08.
Troy James Roeder's current location address is 5030 38th Avenue, Moline, Illinois. You can contact this provider via phone number 3097621602 and fax number 3097621772. The mailing address for Troy James Roeder is 5030 38th Avenue, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Troy James Roeder |
|---|---|
| Address | 5030 38th Avenue, Moline, Illinois |
| Phone Number | 3097621602 |
| Fax Number | 3097621772 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811059413 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5030 38th Avenue |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 61265 |
| Phone Number | 3097621602 |
| Fax Number | 3097621772 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19023696 |
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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 10-digit identifier code issued to Troy James Roeder by the Centers for Medicare & Medicaid Services?
The Troy James Roeder has been assigned the NPI (National Provider Identifier) 1811059413 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Troy James Roeder's facilities are situated?
The facilities of Troy James Roeder are physically located at the following address: 5030 38Th Avenue, Moline, IL, 61265.
What is the Troy James Roeder's specialty and taxonomy code?
The Troy James Roeder's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Troy James Roeder receive its 1811059413 assignment?
The Troy James Roeder was assigned its 1811059413 on 2006-12-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Troy James Roeder most recently updated or revised?
The information pertaining to Troy James Roeder, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.