Gary Merl Leverton is a Dentist in Pontiac, Illinois. Gary Merl Leverton practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Merl Leverton is 1205932977. The last update date is 2007-07-08.
Gary Merl Leverton's current location address is 518 West Madison St, Pontiac, Illinois. You can contact this provider via phone number 8158445993 and fax number 8158444243. The mailing address for Gary Merl Leverton is 518 West Madison St, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Merl Leverton |
|---|---|
| Address | 518 West Madison St, Pontiac, Illinois |
| Phone Number | 8158445993 |
| Fax Number | 8158444243 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1205932977 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 518 West Madison St |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 61764 |
| Phone Number | 8158445993 |
| Fax Number | 8158444243 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19014346 |
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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 identification code assigned to Gary Merl Leverton by the Centers for Medicare & Medicaid Services?
The Gary Merl Leverton has been issued the NPI (National Provider Identifier) 1205932977. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gary Merl Leverton is located?
The Gary Merl Leverton is situated at the following address: 518 West Madison St, Pontiac, IL, 61764.
Could you kindly provide the complete physical address where Gary Merl Leverton's facilities are geographically located?
The facilities of Gary Merl Leverton are physically situated at the following location: 518 West Madison St, Pontiac, IL, 61764.
What is Gary Merl Leverton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Merl Leverton's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
As of what date was the information regarding Gary Merl Leverton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Merl Leverton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.