Russell John Proesel in Mt Zion - General Practice
Russell John Proesel - NPI 1568563666
Russell John Proesel is a General Practice in Mt Zion, Illinois. Russell John Proesel practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell John Proesel is 1568563666. The last update date is 2007-07-08.
Russell John Proesel's current location address is 420 Broadway, Mt Zion, Illinois. You can contact this provider via phone number 2178645744 and fax number 2178645421. The mailing address for Russell John Proesel is 420 Broadway, Mt Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell John Proesel |
|---|---|
| Address | 420 Broadway, Mt Zion, Illinois |
| Phone Number | 2178645744 |
| Fax Number | 2178645421 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568563666 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Broadway |
|---|---|
| City | Mt Zion |
| State | Illinois (IL) |
| Post Code | 62549 |
| Phone Number | 2178645744 |
| Fax Number | 2178645421 |
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 Russell John Proesel by the Centers for Medicare & Medicaid Services?
The Russell John Proesel has been issued the NPI (National Provider Identifier) 1568563666, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Russell John Proesel is geographically located?
The Russell John Proesel is physically situated at the following location: 420 Broadway, Mt Zion, IL, 62549.
What is the area of specialization for Russell John Proesel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell John Proesel is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Russell John Proesel receive its 1568563666 assignment from the Centers for Medicare & Medicaid Services?
The Russell John Proesel was assigned its 1568563666 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Russell John Proesel most recently updated?
The details pertaining to the Russell John Proesel, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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