Kevin Lloyd Fatland in Flossmoor - General Practice

Kevin Lloyd Fatland - NPI 1245258318

Kevin Lloyd Fatland is a General Practice in Flossmoor, Illinois. Kevin Lloyd Fatland practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Lloyd Fatland is 1245258318. The last update date is 2008-12-30.

Kevin Lloyd Fatland's current location address is 19509 Governor's Highway, Flossmoor, Illinois. You can contact this provider via phone number 7086477509 and fax number 7086477918. The mailing address for Kevin Lloyd Fatland is 19509 Governor's Highway, Flossmoor, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Lloyd Fatland
Address 19509 Governor's Highway, Flossmoor, Illinois
Phone Number 7086477509
Fax Number 7086477918
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1245258318
Provider Enumeration Date 2006-07-17
Last Updated Date 2008-12-30

Provider Mailing Address Detail

Address 19509 Governor's Highway
City Flossmoor
State Illinois (IL)
Post Code 604222097
Phone Number 7086477509
Fax Number 7086477918

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12010455A
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19025070 IL --
200361700A IN --

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FAQs about Kevin Lloyd Fatland

What is the unique 10-digit identification code assigned to Kevin Lloyd Fatland by the Centers for Medicare & Medicaid Services?

The Kevin Lloyd Fatland has been issued the NPI (National Provider Identifier) 1245258318, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kevin Lloyd Fatland?

The Kevin Lloyd Fatland is situated at 19509 Governor'S Highway, in the city of Flossmoor, state of IL, with the zip code 604222097.

What is Kevin Lloyd Fatland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kevin Lloyd Fatland's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245258318 to Kevin Lloyd Fatland?

The Centers for Medicare & Medicaid Services assigned the 1245258318 to Kevin Lloyd Fatland on 2006-07-17.

As of what date was the information pertaining to Kevin Lloyd Fatland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kevin Lloyd Fatland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-30.

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