Jennifer K Brubaker in Collinsville - General Practice

Jennifer K Brubaker - NPI 1205940681

Jennifer K Brubaker is a General Practice in Collinsville, Illinois. Jennifer K Brubaker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer K Brubaker is 1205940681. The last update date is 2011-04-18.

Jennifer K Brubaker's current location address is 1099 Belt Line Rd, Collinsville, Illinois. You can contact this provider via phone number 6183444527 and fax number 6183447380. The mailing address for Jennifer K Brubaker is 1099 Belt Line Rd, Collinsville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer K Brubaker
Address 1099 Belt Line Rd, Collinsville, Illinois
Phone Number 6183444527
Fax Number 6183447380
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1205940681
Provider Enumeration Date 2006-08-19
Last Updated Date 2011-04-18

Provider Mailing Address Detail

Address 1099 Belt Line Rd
City Collinsville
State Illinois (IL)
Post Code 622344380
Phone Number 6183444527
Fax Number 6183447380

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19027083
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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FAQs about Jennifer K Brubaker

What is the unique 10-digit identifier code assigned to Jennifer K Brubaker by the Centers for Medicare & Medicaid Services?

The Jennifer K Brubaker has been issued the NPI (National Provider Identifier) 1205940681 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jennifer K Brubaker?

The Jennifer K Brubaker is physically situated at 1099 Belt Line Rd, in the city of Collinsville, state of IL, with the postal code 622344380.

What is Jennifer K Brubaker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer K Brubaker is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Jennifer K Brubaker receive the assignment of its 1205940681 from the Centers for Medicare & Medicaid Services?

The Jennifer K Brubaker was issued its 1205940681 by the Centers for Medicare & Medicaid Services on 2006-08-19.

When was the information regarding Jennifer K Brubaker most recently updated?

The details pertaining to the Jennifer K Brubaker, including its address, specialty, and other relevant information, were last refreshed on 2011-04-18.

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