Lillian Patricia Overall in O Fallon - Dentist
Lillian Patricia Overall - NPI 1649260589
Lillian Patricia Overall is a Dentist in O Fallon, Illinois. Lillian Patricia Overall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lillian Patricia Overall is 1649260589. The last update date is 2007-07-08.
Lillian Patricia Overall's current location address is 1214 Paragon Dr, O Fallon, Illinois. You can contact this provider via phone number 6186287373 and fax number 6186280930. The mailing address for Lillian Patricia Overall is 1214 Paragon Dr, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lillian Patricia Overall |
|---|---|
| Address | 1214 Paragon Dr, O Fallon, Illinois |
| Phone Number | 6186287373 |
| Fax Number | 6186280930 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1649260589 |
|---|---|
| Provider Enumeration Date | 2005-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1214 Paragon Dr |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622691757 |
| Phone Number | 6186287373 |
| Fax Number | 6186280930 |
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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What is the Lillian Patricia Overall's 1649260589?
The Lillian Patricia Overall's NPI (National Provider Identifier) Number is 1649260589. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lillian Patricia Overall's facilities are geographically located?
The facilities of Lillian Patricia Overall are physically situated at the following location: 1214 Paragon Dr, O Fallon, IL, 622691757.
What is the Lillian Patricia Overall's area of specialization and corresponding taxonomy classification?
The Lillian Patricia Overall'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 Lillian Patricia Overall receive its 1649260589 assignment from the Centers for Medicare & Medicaid Services?
The Lillian Patricia Overall was assigned its 1649260589 on 2005-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Lillian Patricia Overall's information last updated?
The Lillian Patricia Overall's information was last updated on 2007-07-08.
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