Charles Wilson Roe in Pinckneyville - Dentist
Charles Wilson Roe - NPI 1871794057
Charles Wilson Roe is a Dentist in Pinckneyville, Illinois. Charles Wilson Roe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Wilson Roe is 1871794057. The last update date is 2007-07-08.
Charles Wilson Roe's current location address is 314 W South St, Pinckneyville, Illinois. You can contact this provider via phone number 6183572445 and fax number 6183579549. The mailing address for Charles Wilson Roe is 314 W South St, Pinckneyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Wilson Roe |
|---|---|
| Address | 314 W South St, Pinckneyville, Illinois |
| Phone Number | 6183572445 |
| Fax Number | 6183579549 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871794057 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 314 W South St |
|---|---|
| City | Pinckneyville |
| State | Illinois (IL) |
| Post Code | 622741336 |
| Phone Number | 6183572445 |
| Fax Number | 6183579549 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19014396 |
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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 10-digit identifier code issued to Charles Wilson Roe by the Centers for Medicare & Medicaid Services?
The Charles Wilson Roe has been assigned the NPI (National Provider Identifier) 1871794057 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charles Wilson Roe's facilities are situated?
The facilities of Charles Wilson Roe are physically located at the following address: 314 W South St, Pinckneyville, IL, 622741336.
What is Charles Wilson Roe's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Wilson Roe is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Charles Wilson Roe receive the assignment of its 1871794057 from the Centers for Medicare & Medicaid Services?
The Charles Wilson Roe was issued its 1871794057 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details pertaining to Charles Wilson Roe last refreshed?
The information related to the Charles Wilson Roe, including its address, specialty, and other relevant details, was last updated on 2007-07-08.