Mark Calvin Yontz in El Paso - General Practice
Mark Calvin Yontz - NPI 1417961558
Mark Calvin Yontz is a General Practice in El Paso, Illinois. Mark Calvin Yontz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Calvin Yontz is 1417961558. The last update date is 2007-07-08.
Mark Calvin Yontz's current location address is 610 W Main St Ste A, El Paso, Illinois. You can contact this provider via phone number 3095275277 and fax number 3095275278. The mailing address for Mark Calvin Yontz is 610 W Main St Ste A, El Paso, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Calvin Yontz |
|---|---|
| Address | 610 W Main St Ste A, El Paso, Illinois |
| Phone Number | 3095275277 |
| Fax Number | 3095275278 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417961558 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 W Main St Ste A |
|---|---|
| City | El Paso |
| State | Illinois (IL) |
| Post Code | 617381496 |
| Phone Number | 3095275277 |
| Fax Number | 3095275278 |
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 identifier code assigned to Mark Calvin Yontz by the Centers for Medicare & Medicaid Services?
The Mark Calvin Yontz has been issued the NPI (National Provider Identifier) 1417961558 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 Mark Calvin Yontz?
The Mark Calvin Yontz is physically situated at 610 W Main St Ste A, in the city of El Paso, state of IL, with the postal code 617381496.
What is the Mark Calvin Yontz's specialty and taxonomy code?
The Mark Calvin Yontz's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417961558 to Mark Calvin Yontz?
The Centers for Medicare & Medicaid Services assigned the 1417961558 to Mark Calvin Yontz on 2006-07-27.
As of what date were the details pertaining to Mark Calvin Yontz last refreshed?
The information related to the Mark Calvin Yontz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.