Scott Kooistra in Grayslake - General Practice

Scott Kooistra - NPI 1447221320

Scott Kooistra is a General Practice in Grayslake, Illinois. Scott Kooistra practices all healthcare services and medical treatments related to General Practice. The NPI Number for Scott Kooistra is 1447221320. The last update date is 2022-08-03.

Scott Kooistra's current location address is 508 Switchgrass Ln, Grayslake, Illinois. You can contact this provider via phone number 8477528360. The mailing address for Scott Kooistra is 508 Switchgrass Ln, Grayslake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Kooistra
Address 508 Switchgrass Ln, Grayslake, Illinois
Phone Number 8477528360
Fax Number
Sole Proprietor N
Credentials D.D.S

NPI Number Detail

NPI Number 1447221320
Provider Enumeration Date 2006-01-30
Last Updated Date 2022-08-03

Provider Mailing Address Detail

Address 508 Switchgrass Ln
City Grayslake
State Illinois (IL)
Post Code 600303522
Phone Number 8477528360
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12009770A
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 Scott Kooistra

What is the Scott Kooistra's unique identification number?

The Scott Kooistra has been assigned the NPI (National Provider Identifier) Number 1447221320 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Scott Kooistra is geographically located?

The Scott Kooistra is physically situated at the following location: 508 Switchgrass Ln, Grayslake, IL, 600303522.

What is Scott Kooistra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Scott Kooistra is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did the Scott Kooistra receive its 1447221320?

The Scott Kooistra was issued its 1447221320 on 2006-01-30, which is the date when the organization was assigned this unique identifier.

When was the Scott Kooistra's information last updated?

The Scott Kooistra's information was last updated on 2022-08-03.

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