Dental Professionals Of Illinois, P.C. in Peoria - General Practice
Dental Professionals Of Illinois, P.C. - NPI 1376765818
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 1376765818. The last update date is 2014-01-08.
Dental Professionals Of Illinois, P.C.'s current location address is 3412 W Willow Knolls Road, Peoria, Illinois. You can contact this provider via phone number 3096903262 and fax number 3096938295. The mailing address for Dental Professionals Of Illinois, P.C. is 3412 W Willow Knolls Road, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Professionals Of Illinois, P.C. |
|---|---|
| Address | 3412 W Willow Knolls Road, Peoria, Illinois |
| Phone Number | 3096903262 |
| Fax Number | 3096938295 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Bearden Lindsay |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1376765818 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 3412 W Willow Knolls Road |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096903262 |
| Fax Number | 3096938295 |
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 identifier code issued to Dental Professionals Of Illinois, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Dental Professionals Of Illinois, P.C. has been assigned the NPI (National Provider Identifier) 1376765818. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Dental Professionals Of Illinois, P.C.?
The Dental Professionals Of Illinois, P.C. is situated at 3412 W Willow Knolls Road, in the city of Peoria, state of IL, with the zip code 61614.
What is Dental Professionals Of Illinois, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dental Professionals Of Illinois, P.C.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did the Dental Professionals Of Illinois, P.C. receive its 1376765818?
The Dental Professionals Of Illinois, P.C. was issued its 1376765818 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the Dental Professionals Of Illinois, P.C.'s information last updated?
The Dental Professionals Of Illinois, P.C.'s information was last updated on 2014-01-08.