Dental Professionals Of Illinois, P.C. in Peoria - General Practice
Dental Professionals Of Illinois, P.C. - NPI 1225250590
Dental Professionals Of Illinois, P.C. is a General Practice in Peoria, Illinois. Dental Professionals Of Illinois, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Professionals Of Illinois, P.C. is 1225250590. The last update date is 2014-01-08.
Dental Professionals Of Illinois, P.C.'s current location address is 6808 N. Knoxville Avenue, Peoria, Illinois. You can contact this provider via phone number 3096918558 and fax number 3096918598. The mailing address for Dental Professionals Of Illinois, P.C. is 6808 N. Knoxville Avenue, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Professionals Of Illinois, P.C. |
|---|---|
| Address | 6808 N. Knoxville Avenue, Peoria, Illinois |
| Phone Number | 3096918558 |
| Fax Number | 3096918598 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Bearden Lindsay |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1225250590 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 6808 N. Knoxville Avenue |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096918558 |
| Fax Number | 3096918598 |
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 identifier code issued to Dental Professionals Of Illinois, P.C. by the Centers for Medicare & Medicaid Services?
The Dental Professionals Of Illinois, P.C. has been assigned the NPI (National Provider Identifier) 1225250590 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dental Professionals Of Illinois, P.C. is physically located?
The Dental Professionals Of Illinois, P.C. is situated at the following address: 6808 N. Knoxville Avenue, Peoria, IL 61614.
What is the area of specialization for Dental Professionals Of Illinois, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dental Professionals Of Illinois, P.C. is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225250590 to Dental Professionals Of Illinois, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1225250590 to Dental Professionals Of Illinois, P.C. on 2007-05-03.
As of what date was the information pertaining to Dental Professionals Of Illinois, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dental Professionals Of Illinois, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-08.