Mark R Commean is a Dentist in Montgomery, Illinois. Mark R Commean practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark R Commean is 1891872958. The last update date is 2007-07-08.
Mark R Commean's current location address is 20 Boulder Hill Pass, Montgomery, Illinois. You can contact this provider via phone number 6308965013 and fax number 6308965108. The mailing address for Mark R Commean is 20 Boulder Hill Pass, Montgomery, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Commean |
|---|---|
| Address | 20 Boulder Hill Pass, Montgomery, Illinois |
| Phone Number | 6308965013 |
| Fax Number | 6308965108 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1891872958 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Boulder Hill Pass |
|---|---|
| City | Montgomery |
| State | Illinois (IL) |
| Post Code | 605381951 |
| Phone Number | 6308965013 |
| Fax Number | 6308965108 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19025702 |
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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 Mark R Commean by the Centers for Medicare & Medicaid Services?
The Mark R Commean has been assigned the NPI (National Provider Identifier) 1891872958 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark R Commean is located?
The Mark R Commean is situated at the following address: 20 Boulder Hill Pass, Montgomery, IL, 605381951.
What is Mark R Commean's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark R Commean's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Mark R Commean receive the assignment of its 1891872958 from the Centers for Medicare & Medicaid Services?
The Mark R Commean was issued its 1891872958 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Mark R Commean most recently updated or revised?
The information pertaining to Mark R Commean, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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