Prairie Dental Associates, P.C. in Bloomington - General Practice
Prairie Dental Associates, P.C. - NPI 1528253994
Prairie Dental Associates, P.C. is a General Practice in Bloomington, Illinois. Prairie Dental Associates, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Prairie Dental Associates, P.C. is 1528253994. The last update date is 2007-09-10.
Prairie Dental Associates, P.C.'s current location address is 3220 Gerig Dr, Bloomington, Illinois. You can contact this provider via phone number 3096627722. The mailing address for Prairie Dental Associates, P.C. is 3220 Gerig Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Dental Associates, P.C. |
|---|---|
| Address | 3220 Gerig Dr, Bloomington, Illinois |
| Phone Number | 3096627722 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stephey A. Richard |
| Credentials | DDS |
| Telephone Number | 3096627722 |
NPI Number Detail
| NPI Number | 1528253994 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 3220 Gerig Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617046394 |
| Phone Number | 3096627722 |
| Fax Number |
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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Prairie Dental Associates, P.C. by the Centers for Medicare & Medicaid Services?
The Prairie Dental Associates, P.C. has been assigned the NPI (National Provider Identifier) 1528253994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Prairie Dental Associates, P.C. is geographically located?
The Prairie Dental Associates, P.C. is physically situated at the following location: 3220 Gerig Dr, Bloomington, IL, 617046394.
What is the area of specialization for Prairie Dental Associates, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prairie Dental Associates, P.C. is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Prairie Dental Associates, P.C. receive its 1528253994 assignment from the Centers for Medicare & Medicaid Services?
The Prairie Dental Associates, P.C. was assigned its 1528253994 by the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date were the details pertaining to Prairie Dental Associates, P.C. last refreshed?
The information related to the Prairie Dental Associates, P.C., including its address, specialty, and other relevant details, was last updated on 2007-09-10.