Dental Professionals Of Illinois, P.C. in Maryville - General Practice
Dental Professionals Of Illinois, P.C. - NPI 1326260647
Dental Professionals Of Illinois, P.C. is a General Practice in Maryville, Illinois. Dental Professionals Of Illinois, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Professionals Of Illinois, P.C. is 1326260647. The last update date is 2014-01-08.
Dental Professionals Of Illinois, P.C.'s current location address is 4971 S. State Rte 159, Maryville, Illinois. You can contact this provider via phone number 6182886699 and fax number 6182888977. The mailing address for Dental Professionals Of Illinois, P.C. is 4971 S. State Rte 159, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Professionals Of Illinois, P.C. |
|---|---|
| Address | 4971 S. State Rte 159, Maryville, Illinois |
| Phone Number | 6182886699 |
| Fax Number | 6182888977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Bearden Lindsay |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1326260647 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 4971 S. State Rte 159 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 62062 |
| Phone Number | 6182886699 |
| Fax Number | 6182888977 |
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 provider identifier assigned to Dental Professionals Of Illinois, P.C.?
The Dental Professionals Of Illinois, P.C. has been issued the NPI (National Provider Identifier) 1326260647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Dental Professionals Of Illinois, P.C. is located?
The Dental Professionals Of Illinois, P.C. is situated at the following address: 4971 S. State Rte 159, Maryville, IL, 62062.
What is Dental Professionals Of Illinois, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dental Professionals Of Illinois, P.C. is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Dental Professionals Of Illinois, P.C. receive its 1326260647 assignment from the Centers for Medicare & Medicaid Services?
The Dental Professionals Of Illinois, P.C. was assigned its 1326260647 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the Dental Professionals Of Illinois, P.C.'s details last updated?
The information pertaining to the Dental Professionals Of Illinois, P.C., including its address, specialty, and other details, was most recently updated on 2014-01-08.
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