John James Derango in Lasalle - General Practice
John James Derango - NPI 1689744468
John James Derango is a General Practice in Lasalle, Illinois. John James Derango practices all healthcare services and medical treatments related to General Practice. The NPI Number for John James Derango is 1689744468. The last update date is 2007-07-08.
John James Derango's current location address is 360 First St, Lasalle, Illinois. You can contact this provider via phone number 8152239057 and fax number 8152239248. The mailing address for John James Derango is 360 First St, Lasalle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John James Derango |
|---|---|
| Address | 360 First St, Lasalle, Illinois |
| Phone Number | 8152239057 |
| Fax Number | 8152239248 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689744468 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 360 First St |
|---|---|
| City | Lasalle |
| State | Illinois (IL) |
| Post Code | 61301 |
| Phone Number | 8152239057 |
| Fax Number | 8152239248 |
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 identification code issued to John James Derango by the Centers for Medicare & Medicaid Services?
The John James Derango has been assigned the NPI (National Provider Identifier) 1689744468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the John James Derango located?
The John James Derango is located at 360 First St, Lasalle, IL 61301.
What is the John James Derango's area of specialization and corresponding taxonomy classification?
The John James Derango's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1689744468 to John James Derango?
The Centers for Medicare & Medicaid Services assigned the 1689744468 to John James Derango on 2006-11-08.
As of what date was the information pertaining to John James Derango, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John James Derango, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.