John Andrew O'Brien in Rockford - General Practice
John Andrew O'Brien - NPI 1629120209
John Andrew O'Brien is a General Practice in Rockford, Illinois. John Andrew O'Brien practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Andrew O'Brien is 1629120209. The last update date is 2007-07-08.
John Andrew O'Brien's current location address is 5301 E State St, Rockford, Illinois. You can contact this provider via phone number 8153992542. The mailing address for John Andrew O'Brien is 5301 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew O'Brien |
|---|---|
| Address | 5301 E State St, Rockford, Illinois |
| Phone Number | 8153992542 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629120209 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5301 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082901 |
| Phone Number | 8153992542 |
| 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 identifier code issued to John Andrew O'Brien by the Centers for Medicare & Medicaid Services?
The John Andrew O'Brien has been assigned the NPI (National Provider Identifier) 1629120209 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Andrew O'Brien is located?
The John Andrew O'Brien is situated at the following address: 5301 E State St, Rockford, IL, 611082901.
What is John Andrew O'Brien's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Andrew O'Brien's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629120209 to John Andrew O'Brien?
The Centers for Medicare & Medicaid Services originally issued the 1629120209 to John Andrew O'Brien on 2007-01-17.
When was the information pertaining to John Andrew O'Brien most recently updated or revised?
The details related to John Andrew O'Brien, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.