Riverside Dental, Pc in Savanna - General Practice
Riverside Dental, Pc - NPI 1073667184
Riverside Dental, Pc is a General Practice in Savanna, Illinois. Riverside Dental, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Riverside Dental, Pc is 1073667184. The last update date is 2020-08-22.
Riverside Dental, Pc's current location address is 401 Main St, Savanna, Illinois. You can contact this provider via phone number 8152732212 and fax number 8152732218. The mailing address for Riverside Dental, Pc is 401 Main St, Savanna, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Dental, Pc |
|---|---|
| Address | 401 Main St, Savanna, Illinois |
| Phone Number | 8152732212 |
| Fax Number | 8152732218 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tonne J William |
| Credentials | DDS |
| Telephone Number | 8152732212 |
NPI Number Detail
| NPI Number | 1073667184 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 401 Main St |
|---|---|
| City | Savanna |
| State | Illinois (IL) |
| Post Code | 610741535 |
| Phone Number | 8152732212 |
| Fax Number | 8152732218 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19-14419 |
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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 issued to Riverside Dental, Pc by the Centers for Medicare & Medicaid Services?
The Riverside Dental, Pc has been assigned the NPI (National Provider Identifier) 1073667184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Riverside Dental, Pc?
The Riverside Dental, Pc is situated at 401 Main St, in the city of Savanna, state of IL, with the zip code 610741535.
What is Riverside Dental, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Riverside Dental, Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Riverside Dental, Pc receive its 1073667184 assignment from the Centers for Medicare & Medicaid Services?
The Riverside Dental, Pc was assigned its 1073667184 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Riverside Dental, Pc's details last updated?
The information pertaining to the Riverside Dental, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.