Wallace Strow is a Dentist in Peoria, Illinois. Wallace Strow practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wallace Strow is 1164589115. The last update date is 2007-07-08.
Wallace Strow's current location address is 2807 W. Townline Rd, Peoria, Illinois. You can contact this provider via phone number 3096891452. The mailing address for Wallace Strow is 2807 W. Townline Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Strow |
|---|---|
| Address | 2807 W. Townline Rd, Peoria, Illinois |
| Phone Number | 3096891452 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164589115 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2807 W. Townline Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61615 |
| Phone Number | 3096891452 |
| 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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What is the unique identifier code issued to Wallace Strow by the Centers for Medicare & Medicaid Services?
The Wallace Strow has been assigned the NPI (National Provider Identifier) 1164589115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wallace Strow's facilities are situated?
The facilities of Wallace Strow are physically located at the following address: 2807 W. Townline Rd, Peoria, IL, 61615.
What is Wallace Strow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace Strow is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Wallace Strow receive its 1164589115 assignment from the Centers for Medicare & Medicaid Services?
The Wallace Strow was assigned its 1164589115 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Wallace Strow most recently updated or revised?
The details related to Wallace Strow, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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