Landmark Dental Group Pc in Normal - Dentist
Landmark Dental Group Pc - NPI 1760644363
Landmark Dental Group Pc is a Dentist in Normal, Illinois. Landmark Dental Group Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Landmark Dental Group Pc is 1760644363. The last update date is 2008-06-26.
Landmark Dental Group Pc's current location address is 1605 Hunt St, Normal, Illinois. You can contact this provider via phone number 3094547344 and fax number 3094529969. The mailing address for Landmark Dental Group Pc is 1605 Hunt St, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Landmark Dental Group Pc |
|---|---|
| Address | 1605 Hunt St, Normal, Illinois |
| Phone Number | 3094547344 |
| Fax Number | 3094529969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Beer J Daniel |
| Credentials | DDS |
| Telephone Number | 3094547344 |
NPI Number Detail
| NPI Number | 1760644363 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 1605 Hunt St |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 61761 |
| Phone Number | 3094547344 |
| Fax Number | 3094529969 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19019614 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1649367814 | IL | NPI |
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What is the unique identifier code issued to Landmark Dental Group Pc by the Centers for Medicare & Medicaid Services?
The Landmark Dental Group Pc has been assigned the NPI (National Provider Identifier) 1760644363. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Landmark Dental Group Pc is located?
The Landmark Dental Group Pc is situated at the following address: 1605 Hunt St, Normal, IL, 61761.
What is the Landmark Dental Group Pc's specialty and taxonomy code?
The Landmark Dental Group Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Landmark Dental Group Pc receive its 1760644363 assignment from the Centers for Medicare & Medicaid Services?
The Landmark Dental Group Pc was assigned its 1760644363 on 2008-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Landmark Dental Group Pc most recently updated or revised?
The information pertaining to Landmark Dental Group Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-26.
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