Lifetime Dental Care Of Illinois, Pc in Carbondale - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1023230281
Lifetime Dental Care Of Illinois, Pc is a General Practice in Carbondale, 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 1023230281. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 1001 E Main, Carbondale, Illinois. You can contact this provider via phone number 6185492273 and fax number 6183510212. The mailing address for Lifetime Dental Care Of Illinois, Pc is 1001 E Main, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 1001 E Main, Carbondale, Illinois |
| Phone Number | 6185492273 |
| Fax Number | 6183510212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1023230281 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1001 E Main |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 62901 |
| Phone Number | 6185492273 |
| Fax Number | 6183510212 |
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?
The Lifetime Dental Care Of Illinois, Pc has been assigned the NPI (National Provider Identifier) 1023230281. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lifetime Dental Care Of Illinois, Pc is located?
The Lifetime Dental Care Of Illinois, Pc is situated at the following address: 1001 E Main, Carbondale, IL, 62901.
What is Lifetime Dental Care Of Illinois, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lifetime Dental Care Of Illinois, Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023230281 to Lifetime Dental Care Of Illinois, Pc?
The Centers for Medicare & Medicaid Services assigned the 1023230281 to Lifetime Dental Care Of Illinois, Pc on 2007-05-03.
As of what date were the details pertaining to Lifetime Dental Care Of Illinois, Pc last refreshed?
The information related to the Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.