Lifetime Dental Care Of Illinois, Pc in Rock Island - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1831311430
Lifetime Dental Care Of Illinois, Pc is a General Practice in Rock Island, Illinois. Lifetime Dental Care Of Illinois, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifetime Dental Care Of Illinois, Pc is 1831311430. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 4024 Blackhawk Road, Rock Island, Illinois. You can contact this provider via phone number 3097886689 and fax number 3097887238. The mailing address for Lifetime Dental Care Of Illinois, Pc is 4024 Blackhawk Road, Rock Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 4024 Blackhawk Road, Rock Island, Illinois |
| Phone Number | 3097886689 |
| Fax Number | 3097887238 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1831311430 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4024 Blackhawk Road |
|---|---|
| City | Rock Island |
| State | Illinois (IL) |
| Post Code | 61201 |
| Phone Number | 3097886689 |
| Fax Number | 3097887238 |
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 Lifetime Dental Care Of Illinois, Pc's unique identification number?
The Lifetime Dental Care Of Illinois, Pc has been assigned the NPI (National Provider Identifier) Number 1831311430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Lifetime Dental Care Of Illinois, Pc is physically located?
The Lifetime Dental Care Of Illinois, Pc is physically situated at the following address: 4024 Blackhawk Road, Rock Island, IL, 61201.
What is the Lifetime Dental Care Of Illinois, Pc's area of specialization and corresponding taxonomy classification?
The Lifetime Dental Care Of Illinois, Pc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Lifetime Dental Care Of Illinois, Pc receive its 1831311430?
The Lifetime Dental Care Of Illinois, Pc was issued its 1831311430 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lifetime Dental Care Of Illinois, Pc most recently updated?
The details pertaining to the Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.