Krallyoder Pc is a General Practice in Metamora, Illinois. Krallyoder Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Krallyoder Pc is 1891957726. The last update date is 2022-05-04.
Krallyoder Pc's current location address is 212 N Davenport St, Metamora, Illinois. You can contact this provider via phone number 3093692378. The mailing address for Krallyoder Pc is 212 N Davenport St, Metamora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Krallyoder Pc |
|---|---|
| Address | 212 N Davenport St, Metamora, Illinois |
| Phone Number | 3093692378 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Krall Andrew Kyle |
| Credentials | DDS |
| Telephone Number | 3093672378 |
NPI Number Detail
| NPI Number | 1891957726 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2022-05-04 |
Provider Mailing Address Detail
| Address | 212 N Davenport St |
|---|---|
| City | Metamora |
| State | Illinois (IL) |
| Post Code | 615489395 |
| Phone Number | 3093692378 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19018768 |
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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 assigned to Krallyoder Pc by the Centers for Medicare & Medicaid Services?
The Krallyoder Pc has been issued the NPI (National Provider Identifier) 1891957726, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Krallyoder Pc's physical address?
The Krallyoder Pc is physically located at 212 N Davenport St, in the city of Metamora, IL, with the postal code 615489395.
What is the Krallyoder Pc's specialty and taxonomy code?
The Krallyoder Pc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891957726 to Krallyoder Pc?
The Centers for Medicare & Medicaid Services originally issued the 1891957726 to Krallyoder Pc on 2008-07-01.
When was the information regarding Krallyoder Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Krallyoder Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-04.