Shandra Lolita Bundy-Smith in Harvey - General Practice
Shandra Lolita Bundy-Smith - NPI 1184769739
Shandra Lolita Bundy-Smith is a General Practice in Harvey, Illinois. Shandra Lolita Bundy-Smith practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shandra Lolita Bundy-Smith is 1184769739. The last update date is 2021-07-13.
Shandra Lolita Bundy-Smith's current location address is 31 W 155th St, Harvey, Illinois. You can contact this provider via phone number 7085965177. The mailing address for Shandra Lolita Bundy-Smith is 31 W 155th St, Harvey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shandra Lolita Bundy-Smith |
|---|---|
| Address | 31 W 155th St, Harvey, Illinois |
| Phone Number | 7085965177 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184769739 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2021-07-13 |
Provider Mailing Address Detail
| Address | 31 W 155th St |
|---|---|
| City | Harvey |
| State | Illinois (IL) |
| Post Code | 604263556 |
| Phone Number | 7085965177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12013090A |
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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 identifier code issued to Shandra Lolita Bundy-Smith by the Centers for Medicare & Medicaid Services?
The Shandra Lolita Bundy-Smith has been assigned the NPI (National Provider Identifier) 1184769739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shandra Lolita Bundy-Smith is located?
The Shandra Lolita Bundy-Smith is situated at the following address: 31 W 155Th St, Harvey, IL, 604263556.
What is the Shandra Lolita Bundy-Smith's area of specialization and corresponding taxonomy classification?
The Shandra Lolita Bundy-Smith'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 was the 1184769739 assigned to Shandra Lolita Bundy-Smith?
The Shandra Lolita Bundy-Smith was issued its 1184769739 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shandra Lolita Bundy-Smith most recently updated or refreshed?
The details pertaining to the Shandra Lolita Bundy-Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-13.