Lifetime Dental Care Of Illinois, Pc in Effingham - General Practice

Lifetime Dental Care Of Illinois, Pc - NPI 1659583656

Lifetime Dental Care Of Illinois, Pc is a General Practice in Effingham, 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 1659583656. The last update date is 2020-08-22.

Lifetime Dental Care Of Illinois, Pc's current location address is 700 N Keller, Effingham, Illinois. You can contact this provider via phone number 2173470588 and fax number 2173470750. The mailing address for Lifetime Dental Care Of Illinois, Pc is 700 N Keller, Effingham, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifetime Dental Care Of Illinois, Pc
Address 700 N Keller, Effingham, Illinois
Phone Number 2173470588
Fax Number 2173470750
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INS COOD
Authorized Official Name Kroeger Amy
Telephone Number 2175405100

NPI Number Detail

NPI Number 1659583656
Provider Enumeration Date 2007-05-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 700 N Keller
City Effingham
State Illinois (IL)
Post Code 62401
Phone Number 2173470588
Fax Number 2173470750

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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 Lifetime Dental Care Of Illinois, Pc

What is the unique identifier 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) 1659583656. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Lifetime Dental Care Of Illinois, Pc's physical address?

The Lifetime Dental Care Of Illinois, Pc is physically located at 700 N Keller, in the city of Effingham, IL, with the postal code 62401.

What is Lifetime Dental Care Of Illinois, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lifetime Dental Care Of Illinois, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Lifetime Dental Care Of Illinois, Pc receive the assignment of its 1659583656 from the Centers for Medicare & Medicaid Services?

The Lifetime Dental Care Of Illinois, Pc was issued its 1659583656 by the Centers for Medicare & Medicaid Services on 2007-05-04.

When was the information related to Lifetime Dental Care Of Illinois, Pc most recently updated or refreshed?

The details pertaining to the Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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