Keri Lynn Sundberg in Mendota - General Practice
Keri Lynn Sundberg - NPI 1568536845
Keri Lynn Sundberg is a General Practice in Mendota, Illinois. Keri Lynn Sundberg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keri Lynn Sundberg is 1568536845. The last update date is 2022-10-05.
Keri Lynn Sundberg's current location address is 709 Plaza Drive, Mendota, Illinois. You can contact this provider via phone number 8155397004 and fax number 8155397060. The mailing address for Keri Lynn Sundberg is 709 Plaza Drive, Mendota, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keri Lynn Sundberg |
|---|---|
| Address | 709 Plaza Drive, Mendota, Illinois |
| Phone Number | 8155397004 |
| Fax Number | 8155397060 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568536845 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2022-10-05 |
Provider Mailing Address Detail
| Address | 709 Plaza Drive |
|---|---|
| City | Mendota |
| State | Illinois (IL) |
| Post Code | 61342 |
| Phone Number | 8155397004 |
| Fax Number | 8155397060 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19025531 |
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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 identification code assigned to Keri Lynn Sundberg by the Centers for Medicare & Medicaid Services?
The Keri Lynn Sundberg has been issued the NPI (National Provider Identifier) 1568536845. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Keri Lynn Sundberg is physically located?
The Keri Lynn Sundberg is situated at the following address: 709 Plaza Drive, Mendota, IL 61342.
What is the area of specialization for Keri Lynn Sundberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Keri Lynn Sundberg is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Keri Lynn Sundberg receive its 1568536845 assignment from the Centers for Medicare & Medicaid Services?
The Keri Lynn Sundberg was assigned its 1568536845 by the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the information related to Keri Lynn Sundberg most recently updated or refreshed?
The details pertaining to the Keri Lynn Sundberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-05.