Richard Keith Usedom in Rockford - Dentist
Richard Keith Usedom - NPI 1922263607
Richard Keith Usedom is a Dentist in Rockford, Illinois. Richard Keith Usedom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Keith Usedom is 1922263607. The last update date is 2008-07-22.
Richard Keith Usedom's current location address is 6050 Brynwood Dr Ste 106, Rockford, Illinois. You can contact this provider via phone number 8158773565. The mailing address for Richard Keith Usedom is 6050 Brynwood Dr Ste 106, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Keith Usedom |
|---|---|
| Address | 6050 Brynwood Dr Ste 106, Rockford, Illinois |
| Phone Number | 8158773565 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1922263607 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 6050 Brynwood Dr Ste 106 |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611146579 |
| Phone Number | 8158773565 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19018382 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Keith Usedom?
The Richard Keith Usedom has been issued the NPI (National Provider Identifier) 1922263607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Richard Keith Usedom located?
The Richard Keith Usedom is located at 6050 Brynwood Dr Ste 106, Rockford, IL 611146579.
What is Richard Keith Usedom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Keith Usedom is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Richard Keith Usedom receive its 1922263607?
The Richard Keith Usedom was issued its 1922263607 on 2008-07-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Richard Keith Usedom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Keith Usedom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-22.