James Edward Illig is a Dentist in Olean, New York. James Edward Illig practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Edward Illig is 1104932995. The last update date is 2007-07-08.
James Edward Illig's current location address is 321 West State St, Olean, New York. You can contact this provider via phone number 7163723221 and fax number 7163723221. The mailing address for James Edward Illig is 321 West State St, Olean, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edward Illig |
|---|---|
| Address | 321 West State St, Olean, New York |
| Phone Number | 7163723221 |
| Fax Number | 7163723221 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104932995 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 321 West State St |
|---|---|
| City | Olean |
| State | New York (NY) |
| Post Code | 14760 |
| Phone Number | 7163723221 |
| Fax Number | 7163723221 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 26457 |
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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 identifier code assigned to James Edward Illig by the Centers for Medicare & Medicaid Services?
The James Edward Illig has been issued the NPI (National Provider Identifier) 1104932995 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 James Edward Illig is physically located?
The James Edward Illig is situated at the following address: 321 West State St, Olean, NY 14760.
What is James Edward Illig's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Edward Illig's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104932995 to James Edward Illig?
The James Edward Illig received its 1104932995 assignment from the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details related to James Edward Illig most recently updated or revised?
The information pertaining to James Edward Illig, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.