Kenneth Delaine Meiss in Peoria - General Practice
Kenneth Delaine Meiss - NPI 1336294537
Kenneth Delaine Meiss is a General Practice in Peoria, Illinois. Kenneth Delaine Meiss practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Delaine Meiss is 1336294537. The last update date is 2015-02-20.
Kenneth Delaine Meiss's current location address is 910 W Glen Ave, Peoria, Illinois. You can contact this provider via phone number 3096829802 and fax number 3096829809. The mailing address for Kenneth Delaine Meiss is 910 W Glen Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Delaine Meiss |
|---|---|
| Address | 910 W Glen Ave, Peoria, Illinois |
| Phone Number | 3096829802 |
| Fax Number | 3096829809 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1336294537 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2015-02-20 |
Provider Mailing Address Detail
| Address | 910 W Glen Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144879 |
| Phone Number | 3096829802 |
| Fax Number | 3096829809 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-024524 |
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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 assigned to Kenneth Delaine Meiss by the Centers for Medicare & Medicaid Services?
The Kenneth Delaine Meiss has been issued the NPI (National Provider Identifier) 1336294537 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kenneth Delaine Meiss?
The Kenneth Delaine Meiss is physically situated at 910 W Glen Ave, in the city of Peoria, state of IL, with the postal code 616144879.
What is the Kenneth Delaine Meiss's area of specialization and corresponding taxonomy classification?
The Kenneth Delaine Meiss's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1336294537 to Kenneth Delaine Meiss?
The Centers for Medicare & Medicaid Services assigned the 1336294537 to Kenneth Delaine Meiss on 2007-01-25.
When was the information pertaining to Kenneth Delaine Meiss most recently updated or revised?
The details related to Kenneth Delaine Meiss, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY