Mark R Commean Dmd Ltd in Montgomery - Dentist
Mark R Commean Dmd Ltd - NPI 1417046905
Mark R Commean Dmd Ltd is a Dentist in Montgomery, Illinois. Mark R Commean Dmd Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark R Commean Dmd Ltd is 1417046905. The last update date is 2020-08-22.
Mark R Commean Dmd Ltd'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 Dmd Ltd is 20 Boulder Hill Pass, Montgomery, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark R Commean Dmd Ltd |
|---|---|
| Address | 20 Boulder Hill Pass, Montgomery, Illinois |
| Phone Number | 6308965013 |
| Fax Number | 6308965108 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Commean R Mark |
| Credentials | DMD |
| Telephone Number | 6308965013 |
NPI Number Detail
| NPI Number | 1417046905 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2020-08-22 |
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 | 1914998 |
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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 identification code issued to Mark R Commean Dmd Ltd by the Centers for Medicare & Medicaid Services?
The Mark R Commean Dmd Ltd has been assigned the NPI (National Provider Identifier) 1417046905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mark R Commean Dmd Ltd's physical address?
The Mark R Commean Dmd Ltd is physically located at 20 Boulder Hill Pass, in the city of Montgomery, IL, with the postal code 605381951.
What is Mark R Commean Dmd Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark R Commean Dmd Ltd's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Mark R Commean Dmd Ltd receive the assignment of its 1417046905 from the Centers for Medicare & Medicaid Services?
The Mark R Commean Dmd Ltd was issued its 1417046905 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details pertaining to Mark R Commean Dmd Ltd last refreshed?
The information related to the Mark R Commean Dmd Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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