Lifetime Dental Care Of Illinois, Pc in Carbondale - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1487867750
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 1487867750. The last update date is 2008-05-21.
Lifetime Dental Care Of Illinois, Pc's current location address is 1366 E Main, Carbondale, Illinois. You can contact this provider via phone number 6185490208 and fax number 6185490182. The mailing address for Lifetime Dental Care Of Illinois, Pc is 1366 E Main, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 1366 E Main, Carbondale, Illinois |
| Phone Number | 6185490208 |
| Fax Number | 6185490182 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1487867750 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 1366 E Main |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 62901 |
| Phone Number | 6185490208 |
| Fax Number | 6185490182 |
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 10-digit identification code assigned to Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc has been issued the NPI (National Provider Identifier) 1487867750, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lifetime Dental Care Of Illinois, Pc?
The Lifetime Dental Care Of Illinois, Pc is physically situated at 1366 E Main, in the city of Carbondale, state of IL, with the postal code 62901.
What is Lifetime Dental Care Of Illinois, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lifetime Dental Care Of Illinois, Pc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487867750 to Lifetime Dental Care Of Illinois, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1487867750 to Lifetime Dental Care Of Illinois, Pc on 2007-05-07.
As of what date were the Lifetime Dental Care Of Illinois, Pc's details last updated?
The information pertaining to the Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other details, was most recently updated on 2008-05-21.