Douglas Jack White in Pittsfield - General Practice
Douglas Jack White - NPI 1568682342
Douglas Jack White is a General Practice in Pittsfield, Illinois. Douglas Jack White practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas Jack White is 1568682342. The last update date is 2007-07-08.
Douglas Jack White's current location address is 110 E Fayette St, Pittsfield, Illinois. You can contact this provider via phone number 2172855553. The mailing address for Douglas Jack White is 110 E Fayette St, Pittsfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Jack White |
|---|---|
| Address | 110 E Fayette St, Pittsfield, Illinois |
| Phone Number | 2172855553 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1568682342 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 E Fayette St |
|---|---|
| City | Pittsfield |
| State | Illinois (IL) |
| Post Code | 623631949 |
| Phone Number | 2172855553 |
| Fax Number |
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 identification code assigned to Douglas Jack White by the Centers for Medicare & Medicaid Services?
The Douglas Jack White has been issued the NPI (National Provider Identifier) 1568682342, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Douglas Jack White located?
The Douglas Jack White is located at 110 E Fayette St, Pittsfield, IL 623631949.
What is the area of specialization for Douglas Jack White, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas Jack White 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 1568682342 to Douglas Jack White?
The Centers for Medicare & Medicaid Services originally issued the 1568682342 to Douglas Jack White on 2007-04-26.
As of what date were the details pertaining to Douglas Jack White last refreshed?
The information related to the Douglas Jack White, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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