Bruce Edward Mathes in Peoria - General Practice
Bruce Edward Mathes - NPI 1992893614
Bruce Edward Mathes is a General Practice in Peoria, Illinois. Bruce Edward Mathes practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Edward Mathes is 1992893614. The last update date is 2007-07-08.
Bruce Edward Mathes's current location address is 121 E Lake Ave, Peoria, Illinois. You can contact this provider via phone number 3096852112 and fax number 3096887393. The mailing address for Bruce Edward Mathes is 121 E Lake Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Edward Mathes |
|---|---|
| Address | 121 E Lake Ave, Peoria, Illinois |
| Phone Number | 3096852112 |
| Fax Number | 3096887393 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992893614 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 121 E Lake Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616146182 |
| Phone Number | 3096852112 |
| Fax Number | 3096887393 |
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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Post Comment/ Review Below
Could you provide the complete address where Bruce Edward Mathes is physically located?
The Bruce Edward Mathes is situated at the following address: 121 E Lake Ave, Peoria, IL 616146182.
Could you please share the complete physical location address where Bruce Edward Mathes's facilities are situated?
The facilities of Bruce Edward Mathes are physically located at the following address: 121 E Lake Ave, Peoria, IL, 616146182.
What is Bruce Edward Mathes's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Edward Mathes's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1992893614 assigned to Bruce Edward Mathes?
The Bruce Edward Mathes was issued its 1992893614 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bruce Edward Mathes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce Edward Mathes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.