Brian Michael Penniall in Saint Charles - Dentist

Brian Michael Penniall - NPI 1659466936

Brian Michael Penniall is a Dentist in Saint Charles, Illinois. Brian Michael Penniall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian Michael Penniall is 1659466936. The last update date is 2007-07-08.

Brian Michael Penniall's current location address is 40w330 Lafox Road, Saint Charles, Illinois. You can contact this provider via phone number 6304441730 and fax number 6304441732. The mailing address for Brian Michael Penniall is 40w330 Lafox Road, Saint Charles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Michael Penniall
Address 40w330 Lafox Road, Saint Charles, Illinois
Phone Number 6304441730
Fax Number 6304441732
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1659466936
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 40w330 Lafox Road
City Saint Charles
State Illinois (IL)
Post Code 60175
Phone Number 6304441730
Fax Number 6304441732

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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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FAQs about Brian Michael Penniall

What is the unique 10-digit identifier code assigned to Brian Michael Penniall by the Centers for Medicare & Medicaid Services?

The Brian Michael Penniall has been issued the NPI (National Provider Identifier) 1659466936 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Brian Michael Penniall is physically located?

The Brian Michael Penniall is situated at the following address: 40W330 Lafox Road, Saint Charles, IL 60175.

What is Brian Michael Penniall's area of expertise and its corresponding taxonomy classification?

The Brian Michael Penniall's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Brian Michael Penniall receive its 1659466936 assignment from the Centers for Medicare & Medicaid Services?

The Brian Michael Penniall was assigned its 1659466936 by the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information pertaining to Brian Michael Penniall most recently updated or revised?

The details related to Brian Michael Penniall, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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