Lifetime Dental Care Of Illinois, Pc in Champaign - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1801018270
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 1801018270. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 907 W Marketview, Champaign, Illinois. You can contact this provider via phone number 2173555220 and fax number 2173555226. The mailing address for Lifetime Dental Care Of Illinois, Pc is 907 W Marketview, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 907 W Marketview, Champaign, Illinois |
| Phone Number | 2173555220 |
| Fax Number | 2173555226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1801018270 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 907 W Marketview |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 61822 |
| Phone Number | 2173555220 |
| Fax Number | 2173555226 |
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 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) 1801018270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Lifetime Dental Care Of Illinois, Pc's facilities are geographically located?
The facilities of Lifetime Dental Care Of Illinois, Pc are physically situated at the following location: 907 W Marketview, Champaign, IL, 61822.
What is Lifetime Dental Care Of Illinois, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lifetime Dental Care Of Illinois, Pc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Lifetime Dental Care Of Illinois, Pc receive its 1801018270 assignment from the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc was assigned its 1801018270 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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.