Lifetime Dental Care Of Illinois, Pc in Mt. Vernon - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1417179755
Lifetime Dental Care Of Illinois, Pc is a General Practice in Mt. Vernon, Illinois. Lifetime Dental Care Of Illinois, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifetime Dental Care Of Illinois, Pc is 1417179755. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 713 S. 42nd Street, Mt. Vernon, Illinois. You can contact this provider via phone number 6182449666 and fax number 6182449986. The mailing address for Lifetime Dental Care Of Illinois, Pc is 713 S. 42nd Street, Mt. Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 713 S. 42nd Street, Mt. Vernon, Illinois |
| Phone Number | 6182449666 |
| Fax Number | 6182449986 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1417179755 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 713 S. 42nd Street |
|---|---|
| City | Mt. Vernon |
| State | Illinois (IL) |
| Post Code | 62864 |
| Phone Number | 6182449666 |
| Fax Number | 6182449986 |
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 10-digit identification code assigned to Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc has been issued the NPI (National Provider Identifier) 1417179755, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lifetime Dental Care Of Illinois, Pc's facilities are geographically located?
The facilities of Lifetime Dental Care Of Illinois, Pc are physically situated at the following location: 713 S. 42Nd Street, Mt. Vernon, IL, 62864.
What is Lifetime Dental Care Of Illinois, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lifetime Dental Care Of Illinois, Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1417179755 assigned to Lifetime Dental Care Of Illinois, Pc?
The Lifetime Dental Care Of Illinois, Pc was issued its 1417179755 on 2007-05-03, 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 details related to Lifetime Dental Care Of Illinois, Pc most recently updated or revised?
The information pertaining to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA