John M Formeller is a Dentist in Northbrook, Illinois. John M Formeller practices all healthcare services and medical treatments related to Dentist. The NPI Number for John M Formeller is 1952455107. The last update date is 2016-12-06.
John M Formeller's current location address is 1220 Meadow Rd, Northbrook, Illinois. You can contact this provider via phone number 8472729666. The mailing address for John M Formeller is 1220 Meadow Rd, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M Formeller |
|---|---|
| Address | 1220 Meadow Rd, Northbrook, Illinois |
| Phone Number | 8472729666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952455107 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2016-12-06 |
Provider Mailing Address Detail
| Address | 1220 Meadow Rd |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600623698 |
| Phone Number | 8472729666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19021481 |
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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 identification code assigned to John M Formeller by the Centers for Medicare & Medicaid Services?
The John M Formeller has been issued the NPI (National Provider Identifier) 1952455107. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John M Formeller's physical address?
The John M Formeller is physically located at 1220 Meadow Rd, in the city of Northbrook, IL, with the postal code 600623698.
What is John M Formeller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John M Formeller is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1952455107 assigned to John M Formeller?
The John M Formeller was issued its 1952455107 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John M Formeller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John M Formeller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-06.
NPI Number: 1063415297
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