Lifetime Dental Care Of Illinois, Pc in Champaign - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1376765776
Lifetime Dental Care Of Illinois, Pc is a General Practice in Champaign, 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 1376765776. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 703b S Neil, Champaign, Illinois. You can contact this provider via phone number 2173982244 and fax number 2173989188. The mailing address for Lifetime Dental Care Of Illinois, Pc is 703b S Neil, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 703b S Neil, Champaign, Illinois |
| Phone Number | 2173982244 |
| Fax Number | 2173989188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1376765776 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 703b S Neil |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 61820 |
| Phone Number | 2173982244 |
| Fax Number | 2173989188 |
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 Lifetime Dental Care Of Illinois, Pc's 1376765776?
The Lifetime Dental Care Of Illinois, Pc's NPI (National Provider Identifier) Number is 1376765776. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lifetime Dental Care Of Illinois, Pc located?
The Lifetime Dental Care Of Illinois, Pc is located at 703B S Neil, Champaign, IL 61820.
What is Lifetime Dental Care Of Illinois, Pc's area of expertise and its corresponding taxonomy classification?
The Lifetime Dental Care Of Illinois, Pc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1376765776 to Lifetime Dental Care Of Illinois, Pc?
The Lifetime Dental Care Of Illinois, Pc received its 1376765776 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information pertaining to Lifetime Dental Care Of Illinois, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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