Dental Office 300 Memorial Drive Llc in Crystal Lake - General Practice
Dental Office 300 Memorial Drive Llc - NPI 1669548830
Dental Office 300 Memorial Drive Llc is a General Practice in Crystal Lake, Illinois. Dental Office 300 Memorial Drive Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Office 300 Memorial Drive Llc is 1669548830. The last update date is 2020-08-22.
Dental Office 300 Memorial Drive Llc's current location address is 300 Memorial Dr Ste 400, Crystal Lake, Illinois. You can contact this provider via phone number 8154598127 and fax number 8154598427. The mailing address for Dental Office 300 Memorial Drive Llc is 300 Memorial Dr Ste 400, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Office 300 Memorial Drive Llc |
|---|---|
| Address | 300 Memorial Dr Ste 400, Crystal Lake, Illinois |
| Phone Number | 8154598127 |
| Fax Number | 8154598427 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Mcnerney E. William |
| Credentials | D.D.S. |
| Telephone Number | 8154598127 |
NPI Number Detail
| NPI Number | 1669548830 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 Memorial Dr Ste 400 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600146273 |
| Phone Number | 8154598127 |
| Fax Number | 8154598427 |
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 identifier code issued to Dental Office 300 Memorial Drive Llc by the Centers for Medicare & Medicaid Services?
The Dental Office 300 Memorial Drive Llc has been assigned the NPI (National Provider Identifier) 1669548830. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dental Office 300 Memorial Drive Llc's facilities are situated?
The facilities of Dental Office 300 Memorial Drive Llc are physically located at the following address: 300 Memorial Dr Ste 400, Crystal Lake, IL, 600146273.
What is Dental Office 300 Memorial Drive Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dental Office 300 Memorial Drive Llc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did Dental Office 300 Memorial Drive Llc receive its 1669548830 assignment from the Centers for Medicare & Medicaid Services?
The Dental Office 300 Memorial Drive Llc was assigned its 1669548830 on 2006-11-28, 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 Dental Office 300 Memorial Drive Llc's details last updated?
The information pertaining to the Dental Office 300 Memorial Drive Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.