Lifetime Dental Care Of Illinois, Pc in Bourbonnais - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1770705923
Lifetime Dental Care Of Illinois, Pc is a General Practice in Bourbonnais, 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 1770705923. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 761 Main Street Nw, Bourbonnais, Illinois. You can contact this provider via phone number 8159333377 and fax number 8159336530. The mailing address for Lifetime Dental Care Of Illinois, Pc is 761 Main Street Nw, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 761 Main Street Nw, Bourbonnais, Illinois |
| Phone Number | 8159333377 |
| Fax Number | 8159336530 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1770705923 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 761 Main Street Nw |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 60914 |
| Phone Number | 8159333377 |
| Fax Number | 8159336530 |
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 provider identifier assigned to Lifetime Dental Care Of Illinois, Pc?
The Lifetime Dental Care Of Illinois, Pc has been issued the NPI (National Provider Identifier) 1770705923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lifetime Dental Care Of Illinois, Pc located?
The Lifetime Dental Care Of Illinois, Pc is located at 761 Main Street Nw, Bourbonnais, IL 60914.
What is Lifetime Dental Care Of Illinois, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lifetime Dental Care Of Illinois, Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770705923 to Lifetime Dental Care Of Illinois, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1770705923 to Lifetime Dental Care Of Illinois, Pc on 2007-05-03.
As of what date were the details related to Lifetime Dental Care Of Illinois, Pc most recently updated or revised?
The information pertaining to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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