Buffalo Prairie Dental Care Of Pittsfield, Inc in Pittsfield - Dentist
Buffalo Prairie Dental Care Of Pittsfield, Inc - NPI 1760667307
Buffalo Prairie Dental Care Of Pittsfield, Inc is a Dentist in Pittsfield, Illinois. Buffalo Prairie Dental Care Of Pittsfield, Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Buffalo Prairie Dental Care Of Pittsfield, Inc is 1760667307. The last update date is 2008-01-02.
Buffalo Prairie Dental Care Of Pittsfield, Inc's current location address is 850 N Jackson St, Pittsfield, Illinois. You can contact this provider via phone number 2172854084. The mailing address for Buffalo Prairie Dental Care Of Pittsfield, Inc is 850 N Jackson St, Pittsfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Buffalo Prairie Dental Care Of Pittsfield, Inc |
|---|---|
| Address | 850 N Jackson St, Pittsfield, Illinois |
| Phone Number | 2172854084 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Northcutt Glenn Roy |
| Credentials | DMD |
| Telephone Number | 2172854084 |
NPI Number Detail
| NPI Number | 1760667307 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2008-01-02 |
Provider Mailing Address Detail
| Address | 850 N Jackson St |
|---|---|
| City | Pittsfield |
| State | Illinois (IL) |
| Post Code | 623631206 |
| Phone Number | 2172854084 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 190242471 |
|
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 identifier code assigned to Buffalo Prairie Dental Care Of Pittsfield, Inc by the Centers for Medicare & Medicaid Services?
The Buffalo Prairie Dental Care Of Pittsfield, Inc has been issued the NPI (National Provider Identifier) 1760667307 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Buffalo Prairie Dental Care Of Pittsfield, Inc's facilities are situated?
The facilities of Buffalo Prairie Dental Care Of Pittsfield, Inc are physically located at the following address: 850 N Jackson St, Pittsfield, IL, 623631206.
What is Buffalo Prairie Dental Care Of Pittsfield, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Buffalo Prairie Dental Care Of Pittsfield, Inc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Buffalo Prairie Dental Care Of Pittsfield, Inc receive its 1760667307 assignment from the Centers for Medicare & Medicaid Services?
The Buffalo Prairie Dental Care Of Pittsfield, Inc was assigned its 1760667307 on 2008-01-02, 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 Buffalo Prairie Dental Care Of Pittsfield, Inc most recently updated or revised?
The details related to Buffalo Prairie Dental Care Of Pittsfield, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-02.