Marengo Dental is a General Practice in Marengo, Illinois. Marengo Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marengo Dental is 1760608731. The last update date is 2008-09-09.
Marengo Dental's current location address is 110 E Washington St, Marengo, Illinois. You can contact this provider via phone number 8155681202. The mailing address for Marengo Dental is 110 E Washington St, Marengo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marengo Dental |
|---|---|
| Address | 110 E Washington St, Marengo, Illinois |
| Phone Number | 8155681202 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dettman Gary |
| Telephone Number | 8155681202 |
NPI Number Detail
| NPI Number | 1760608731 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2008-09-09 |
Provider Mailing Address Detail
| Address | 110 E Washington St |
|---|---|
| City | Marengo |
| State | Illinois (IL) |
| Post Code | 601523107 |
| Phone Number | 8155681202 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-020199 |
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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 Marengo Dental by the Centers for Medicare & Medicaid Services?
The Marengo Dental has been assigned the NPI (National Provider Identifier) 1760608731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Marengo Dental is physically located?
The Marengo Dental is physically situated at the following address: 110 E Washington St, Marengo, IL, 601523107.
What is Marengo Dental's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marengo Dental's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1760608731 assigned to Marengo Dental?
The Marengo Dental was issued its 1760608731 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marengo Dental's details last updated?
The information pertaining to the Marengo Dental, including its address, specialty, and other details, was most recently updated on 2008-09-09.
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