Brandon Robert Maddox in Springfield - Dentist
Brandon Robert Maddox - NPI 1134268071
Brandon Robert Maddox is a Dentist in Springfield, Illinois. Brandon Robert Maddox practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brandon Robert Maddox is 1134268071. The last update date is 2023-09-16.
Brandon Robert Maddox's current location address is 1100 Rickard Rd, Springfield, Illinois. You can contact this provider via phone number 2175464738. The mailing address for Brandon Robert Maddox is 1100 Rickard Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Robert Maddox |
|---|---|
| Address | 1100 Rickard Rd, Springfield, Illinois |
| Phone Number | 2175464738 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1134268071 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2023-09-16 |
Provider Mailing Address Detail
| Address | 1100 Rickard Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627046301 |
| Phone Number | 2175464738 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19025561 |
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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 identifier code issued to Brandon Robert Maddox by the Centers for Medicare & Medicaid Services?
The Brandon Robert Maddox has been assigned the NPI (National Provider Identifier) 1134268071. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brandon Robert Maddox is geographically located?
The Brandon Robert Maddox is physically situated at the following location: 1100 Rickard Rd, Springfield, IL, 627046301.
What is Brandon Robert Maddox's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brandon Robert Maddox's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Brandon Robert Maddox receive its 1134268071 assignment from the Centers for Medicare & Medicaid Services?
The Brandon Robert Maddox was assigned its 1134268071 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brandon Robert Maddox, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brandon Robert Maddox, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-16.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL