Roger Blair Woodrome in Mount Vernon - Dentist
Roger Blair Woodrome - NPI 1326169582
Roger Blair Woodrome is a Dentist in Mount Vernon, Illinois. Roger Blair Woodrome practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roger Blair Woodrome is 1326169582. The last update date is 2007-07-08.
Roger Blair Woodrome's current location address is 4214 Lincolnshire Dr, Mount Vernon, Illinois. You can contact this provider via phone number 6182446912 and fax number 6182447540. The mailing address for Roger Blair Woodrome is 4214 Lincolnshire Dr, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Blair Woodrome |
|---|---|
| Address | 4214 Lincolnshire Dr, Mount Vernon, Illinois |
| Phone Number | 6182446912 |
| Fax Number | 6182447540 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1326169582 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4214 Lincolnshire Dr |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642156 |
| Phone Number | 6182446912 |
| Fax Number | 6182447540 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 190016705 |
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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 Roger Blair Woodrome by the Centers for Medicare & Medicaid Services?
The Roger Blair Woodrome has been assigned the NPI (National Provider Identifier) 1326169582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Roger Blair Woodrome is physically located?
The Roger Blair Woodrome is situated at the following address: 4214 Lincolnshire Dr, Mount Vernon, IL 628642156.
What is the Roger Blair Woodrome's area of specialization and corresponding taxonomy classification?
The Roger Blair Woodrome's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326169582 to Roger Blair Woodrome?
The Centers for Medicare & Medicaid Services originally issued the 1326169582 to Roger Blair Woodrome on 2007-04-03.
As of what date were the Roger Blair Woodrome's details last updated?
The information pertaining to the Roger Blair Woodrome, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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