Michael T Tierney is a Dentist in Oswego, Illinois. Michael T Tierney practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael T Tierney is 1063501567. The last update date is 2013-07-12.
Michael T Tierney's current location address is 4781 State Route 71, Oswego, Illinois. You can contact this provider via phone number 6305545157 and fax number 6305545487. The mailing address for Michael T Tierney is 4781 State Route 71, Oswego, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael T Tierney |
|---|---|
| Address | 4781 State Route 71, Oswego, Illinois |
| Phone Number | 6305545157 |
| Fax Number | 6305545487 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1063501567 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2013-07-12 |
Provider Mailing Address Detail
| Address | 4781 State Route 71 |
|---|---|
| City | Oswego |
| State | Illinois (IL) |
| Post Code | 60543 |
| Phone Number | 6305545157 |
| Fax Number | 6305545487 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1914998 |
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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 identifier code issued to Michael T Tierney by the Centers for Medicare & Medicaid Services (CMS)?
The Michael T Tierney has been assigned the NPI (National Provider Identifier) 1063501567. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael T Tierney located?
The Michael T Tierney is located at 4781 State Route 71, Oswego, IL 60543.
What is the Michael T Tierney's specialty and taxonomy code?
The Michael T Tierney's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063501567 to Michael T Tierney?
The Centers for Medicare & Medicaid Services assigned the 1063501567 to Michael T Tierney on 2006-10-12.
As of what date were the Michael T Tierney's details last updated?
The information pertaining to the Michael T Tierney, including its address, specialty, and other details, was most recently updated on 2013-07-12.