James Bradley Pueschel in Peoria - General Practice

James Bradley Pueschel - NPI 1659468304

James Bradley Pueschel is a General Practice in Peoria, Illinois. James Bradley Pueschel practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Bradley Pueschel is 1659468304. The last update date is 2007-07-08.

James Bradley Pueschel's current location address is 300 E War Memorial Dr, Peoria, Illinois. You can contact this provider via phone number 3096829699 and fax number 3096820529. The mailing address for James Bradley Pueschel is 300 E War Memorial Dr, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name James Bradley Pueschel
Address 300 E War Memorial Dr, Peoria, Illinois
Phone Number 3096829699
Fax Number 3096820529
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1659468304
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 E War Memorial Dr
City Peoria
State Illinois (IL)
Post Code 616147551
Phone Number 3096829699
Fax Number 3096820529

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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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FAQs about James Bradley Pueschel

What is the unique provider identifier assigned to James Bradley Pueschel?

The James Bradley Pueschel has been issued the NPI (National Provider Identifier) 1659468304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where James Bradley Pueschel's facilities are geographically located?

The facilities of James Bradley Pueschel are physically situated at the following location: 300 E War Memorial Dr, Peoria, IL, 616147551.

What is the James Bradley Pueschel's specialty and taxonomy code?

The James Bradley Pueschel's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the James Bradley Pueschel receive its 1659468304 assignment from the Centers for Medicare & Medicaid Services?

The James Bradley Pueschel was assigned its 1659468304 by the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information regarding James Bradley Pueschel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to James Bradley Pueschel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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