Caroline Connolly is a Dentist in O Fallon, Illinois. Caroline Connolly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Caroline Connolly is 1922137546. The last update date is 2007-07-08.
Caroline Connolly's current location address is 1490 N Green Mount Rd, O Fallon, Illinois. You can contact this provider via phone number 6186321603 and fax number 6186326034. The mailing address for Caroline Connolly is 1490 N Green Mount Rd, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Caroline Connolly |
|---|---|
| Address | 1490 N Green Mount Rd, O Fallon, Illinois |
| Phone Number | 6186321603 |
| Fax Number | 6186326034 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922137546 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1490 N Green Mount Rd |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622693416 |
| Phone Number | 6186321603 |
| Fax Number | 6186326034 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1005523 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Caroline Connolly by the Centers for Medicare & Medicaid Services?
The Caroline Connolly has been issued the NPI (National Provider Identifier) 1922137546 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Caroline Connolly?
The Caroline Connolly is physically situated at 1490 N Green Mount Rd, in the city of O Fallon, state of IL, with the postal code 622693416.
What is the area of specialization for Caroline Connolly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Caroline Connolly is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did Caroline Connolly receive its 1922137546 assignment from the Centers for Medicare & Medicaid Services?
The Caroline Connolly was assigned its 1922137546 on 2007-03-02, 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 Caroline Connolly most recently updated or revised?
The information pertaining to Caroline Connolly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY