Susan P Anderson is a Dentist in Roscoe, Illinois. Susan P Anderson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susan P Anderson is 1275549313. The last update date is 2007-07-08.
Susan P Anderson's current location address is 5412 Bridge St, Roscoe, Illinois. You can contact this provider via phone number 8156231900 and fax number 8156231933. The mailing address for Susan P Anderson is 5412 Bridge St, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan P Anderson |
|---|---|
| Address | 5412 Bridge St, Roscoe, Illinois |
| Phone Number | 8156231900 |
| Fax Number | 8156231933 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1275549313 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5412 Bridge St |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610738571 |
| Phone Number | 8156231900 |
| Fax Number | 8156231933 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19024372 |
|
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 identification code assigned to Susan P Anderson by the Centers for Medicare & Medicaid Services?
The Susan P Anderson has been issued the NPI (National Provider Identifier) 1275549313, which 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 Susan P Anderson is located?
The Susan P Anderson is situated at the following address: 5412 Bridge St, Roscoe, IL, 610738571.
What is the area of specialization for Susan P Anderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan P Anderson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Susan P Anderson receive its 1275549313 assignment from the Centers for Medicare & Medicaid Services?
The Susan P Anderson was assigned its 1275549313 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information pertaining to Susan P Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan P Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL