Dental Professionals Of Illinois, P.C. in Champaign - General Practice
Dental Professionals Of Illinois, P.C. - NPI 1750594016
Dental Professionals Of Illinois, P.C. is a General Practice in Champaign, Illinois. Dental Professionals Of Illinois, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Professionals Of Illinois, P.C. is 1750594016. The last update date is 2014-01-07.
Dental Professionals Of Illinois, P.C.'s current location address is 14 East Anthony Drive, Champaign, Illinois. You can contact this provider via phone number 2173598697 and fax number 2173555094. The mailing address for Dental Professionals Of Illinois, P.C. is 14 East Anthony Drive, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Professionals Of Illinois, P.C. |
|---|---|
| Address | 14 East Anthony Drive, Champaign, Illinois |
| Phone Number | 2173598697 |
| Fax Number | 2173555094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Bearden Lindsay |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1750594016 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2014-01-07 |
Provider Mailing Address Detail
| Address | 14 East Anthony Drive |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 61820 |
| Phone Number | 2173598697 |
| Fax Number | 2173555094 |
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 Dental Professionals Of Illinois, P.C.'s 1750594016?
The Dental Professionals Of Illinois, P.C.'s NPI (National Provider Identifier) Number is 1750594016. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dental Professionals Of Illinois, P.C.'s facilities are geographically located?
The facilities of Dental Professionals Of Illinois, P.C. are physically situated at the following location: 14 East Anthony Drive, Champaign, IL, 61820.
What is Dental Professionals Of Illinois, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dental Professionals Of Illinois, P.C.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750594016 to Dental Professionals Of Illinois, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1750594016 to Dental Professionals Of Illinois, P.C. on 2007-05-07.
When was the information pertaining to Dental Professionals Of Illinois, P.C. most recently updated or revised?
The details related to Dental Professionals Of Illinois, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2014-01-07.