Thomas Love Prendergast in Fox Lake - Dentist
Thomas Love Prendergast - NPI 1124124821
Thomas Love Prendergast is a Dentist in Fox Lake, Illinois. Thomas Love Prendergast practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Love Prendergast is 1124124821. The last update date is 2014-09-19.
Thomas Love Prendergast's current location address is 1394 S Route 12, Fox Lake, Illinois. You can contact this provider via phone number 8475875053. The mailing address for Thomas Love Prendergast is 1394 S Route 12, Fox Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Love Prendergast |
|---|---|
| Address | 1394 S Route 12, Fox Lake, Illinois |
| Phone Number | 8475875053 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124124821 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2014-09-19 |
Provider Mailing Address Detail
| Address | 1394 S Route 12 |
|---|---|
| City | Fox Lake |
| State | Illinois (IL) |
| Post Code | 600201949 |
| Phone Number | 8475875053 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19022387 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas Love Prendergast by the Centers for Medicare & Medicaid Services?
The Thomas Love Prendergast has been issued the NPI (National Provider Identifier) 1124124821, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas Love Prendergast is geographically located?
The Thomas Love Prendergast is physically situated at the following location: 1394 S Route 12, Fox Lake, IL, 600201949.
What is Thomas Love Prendergast's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas Love Prendergast is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124124821 to Thomas Love Prendergast?
The Centers for Medicare & Medicaid Services assigned the 1124124821 to Thomas Love Prendergast on 2006-09-16.
As of what date were the details pertaining to Thomas Love Prendergast last refreshed?
The information related to the Thomas Love Prendergast, including its address, specialty, and other relevant details, was last updated on 2014-09-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC