Lifetime Dental Care Of Illinois, Pc in Bloomington - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1265654412
Lifetime Dental Care Of Illinois, Pc is a General Practice in Bloomington, Illinois. Lifetime Dental Care Of Illinois, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifetime Dental Care Of Illinois, Pc is 1265654412. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 1507 North Veterans Parkway, Bloomington, Illinois. You can contact this provider via phone number 3096646666 and fax number 3096620252. The mailing address for Lifetime Dental Care Of Illinois, Pc is 1507 North Veterans Parkway, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 1507 North Veterans Parkway, Bloomington, Illinois |
| Phone Number | 3096646666 |
| Fax Number | 3096620252 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1265654412 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1507 North Veterans Parkway |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61704 |
| Phone Number | 3096646666 |
| Fax Number | 3096620252 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Lifetime Dental Care Of Illinois, Pc has been assigned the NPI (National Provider Identifier) 1265654412. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Lifetime Dental Care Of Illinois, Pc's facilities are situated?
The facilities of Lifetime Dental Care Of Illinois, Pc are physically located at the following address: 1507 North Veterans Parkway, Bloomington, IL, 61704.
What is Lifetime Dental Care Of Illinois, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lifetime Dental Care Of Illinois, Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Lifetime Dental Care Of Illinois, Pc receive its 1265654412 assignment from the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc was assigned its 1265654412 on 2007-05-03, 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 Lifetime Dental Care Of Illinois, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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