Lifetime Dental Care Of Illinois, Pc in Dekalb - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1801018197
Lifetime Dental Care Of Illinois, Pc is a General Practice in Dekalb, 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 1801018197. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 2707 Sycamore Road, Dekalb, Illinois. You can contact this provider via phone number 8157564430 and fax number 8157564350. The mailing address for Lifetime Dental Care Of Illinois, Pc is 2707 Sycamore Road, Dekalb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 2707 Sycamore Road, Dekalb, Illinois |
| Phone Number | 8157564430 |
| Fax Number | 8157564350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1801018197 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2707 Sycamore Road |
|---|---|
| City | Dekalb |
| State | Illinois (IL) |
| Post Code | 60115 |
| Phone Number | 8157564430 |
| Fax Number | 8157564350 |
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 Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Lifetime Dental Care Of Illinois, Pc has been assigned the NPI (National Provider Identifier) 1801018197. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lifetime Dental Care Of Illinois, Pc located?
The Lifetime Dental Care Of Illinois, Pc is located at 2707 Sycamore Road, Dekalb, IL 60115.
What is the Lifetime Dental Care Of Illinois, Pc's specialty and taxonomy code?
The Lifetime Dental Care Of Illinois, Pc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Lifetime Dental Care Of Illinois, Pc receive its 1801018197 assignment from the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc was assigned its 1801018197 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lifetime Dental Care Of Illinois, Pc most recently updated or revised?
The details related to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.