Richard Andrew Boehm in Palos Hills - Dentist
Richard Andrew Boehm - NPI 1821160045
Richard Andrew Boehm is a Dentist in Palos Hills, Illinois. Richard Andrew Boehm practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Andrew Boehm is 1821160045. The last update date is 2007-07-08.
Richard Andrew Boehm's current location address is 7630 W 111th St, Palos Hills, Illinois. You can contact this provider via phone number 7089741319 and fax number 7082334846. The mailing address for Richard Andrew Boehm is 7630 W 111th St, Palos Hills, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Andrew Boehm |
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Address | 7630 W 111th St, Palos Hills, Illinois |
Phone Number | 7089741319 |
Fax Number | 7082334846 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1821160045 |
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Provider Enumeration Date | 2006-11-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7630 W 111th St |
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City | Palos Hills |
State | Illinois (IL) |
Post Code | 604652302 |
Phone Number | 7089741319 |
Fax Number | 7082334846 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 19022901 |
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 Richard Andrew Boehm by the Centers for Medicare & Medicaid Services (CMS)?
The Richard Andrew Boehm has been assigned the NPI (National Provider Identifier) 1821160045. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Richard Andrew Boehm's facilities are geographically located?
The facilities of Richard Andrew Boehm are physically situated at the following location: 7630 W 111Th St, Palos Hills, IL, 604652302.
What is Richard Andrew Boehm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Andrew Boehm's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Richard Andrew Boehm receive the assignment of its 1821160045 from the Centers for Medicare & Medicaid Services?
The Richard Andrew Boehm was issued its 1821160045 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the Richard Andrew Boehm's details last updated?
The information pertaining to the Richard Andrew Boehm, including its address, specialty, and other details, was most recently updated on 2007-07-08.