Robert Ellsworth Sprague in Paris - Dentist
Robert Ellsworth Sprague - NPI 1063586550
Robert Ellsworth Sprague is a Dentist in Paris, Illinois. Robert Ellsworth Sprague practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Ellsworth Sprague is 1063586550. The last update date is 2007-07-08.
Robert Ellsworth Sprague's current location address is 110 Sheriff St, Paris, Illinois. You can contact this provider via phone number 2174663465. The mailing address for Robert Ellsworth Sprague is 110 Sheriff St, Paris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Ellsworth Sprague |
|---|---|
| Address | 110 Sheriff St, Paris, Illinois |
| Phone Number | 2174663465 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063586550 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Sheriff St |
|---|---|
| City | Paris |
| State | Illinois (IL) |
| Post Code | 61944 |
| Phone Number | 2174663465 |
| Fax Number |
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 |
|---|---|---|---|
| 1003837 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Ellsworth Sprague by the Centers for Medicare & Medicaid Services?
The Robert Ellsworth Sprague has been issued the NPI (National Provider Identifier) 1063586550, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Robert Ellsworth Sprague is physically located?
The Robert Ellsworth Sprague is physically situated at the following address: 110 Sheriff St, Paris, IL, 61944.
What is the Robert Ellsworth Sprague's specialty and taxonomy code?
The Robert Ellsworth Sprague's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Robert Ellsworth Sprague receive its 1063586550 assignment from the Centers for Medicare & Medicaid Services?
The Robert Ellsworth Sprague was assigned its 1063586550 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Robert Ellsworth Sprague, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Ellsworth Sprague, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.