Prairie View Dental Llc in Sycamore - Dentist
Prairie View Dental Llc - NPI 1063570752
Prairie View Dental Llc is a Dentist in Sycamore, Illinois. Prairie View Dental Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Prairie View Dental Llc is 1063570752. The last update date is 2020-08-22.
Prairie View Dental Llc's current location address is 115 W Peace Rd, Sycamore, Illinois. You can contact this provider via phone number 8158956100 and fax number 8158956107. The mailing address for Prairie View Dental Llc is 115 W Peace Rd, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie View Dental Llc |
|---|---|
| Address | 115 W Peace Rd, Sycamore, Illinois |
| Phone Number | 8158956100 |
| Fax Number | 8158956107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Jozwiak K Tiffany |
| Telephone Number | 8158956100 |
NPI Number Detail
| NPI Number | 1063570752 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 W Peace Rd |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 60178 |
| Phone Number | 8158956100 |
| Fax Number | 8158956107 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 10-digit identification code issued to Prairie View Dental Llc by the Centers for Medicare & Medicaid Services?
The Prairie View Dental Llc has been assigned the NPI (National Provider Identifier) 1063570752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Prairie View Dental Llc's facilities are geographically located?
The facilities of Prairie View Dental Llc are physically situated at the following location: 115 W Peace Rd, Sycamore, IL, 60178.
What is the Prairie View Dental Llc's area of specialization and corresponding taxonomy classification?
The Prairie View Dental Llc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Prairie View Dental Llc receive the assignment of its 1063570752 from the Centers for Medicare & Medicaid Services?
The Prairie View Dental Llc was issued its 1063570752 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the Prairie View Dental Llc's information last updated?
The Prairie View Dental Llc's information was last updated on 2020-08-22.