Lifetime Dental Care Of Illinois, Pc in Springfield - General Practice

Lifetime Dental Care Of Illinois, Pc - NPI 1689887952

Lifetime Dental Care Of Illinois, Pc is a General Practice in Springfield, 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 1689887952. The last update date is 2020-08-22.

Lifetime Dental Care Of Illinois, Pc's current location address is 2633 Chatham Road, Springfield, Illinois. You can contact this provider via phone number 2176988777 and fax number 2176988787. The mailing address for Lifetime Dental Care Of Illinois, Pc is 2633 Chatham Road, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifetime Dental Care Of Illinois, Pc
Address 2633 Chatham Road, Springfield, Illinois
Phone Number 2176988777
Fax Number 2176988787
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INS COOD
Authorized Official Name Kroeger Amy
Telephone Number 2175405100

NPI Number Detail

NPI Number 1689887952
Provider Enumeration Date 2007-05-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2633 Chatham Road
City Springfield
State Illinois (IL)
Post Code 62704
Phone Number 2176988777
Fax Number 2176988787

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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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FAQs about Lifetime Dental Care Of Illinois, Pc

What is the unique identification code assigned to Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services?

The Lifetime Dental Care Of Illinois, Pc has been issued the NPI (National Provider Identifier) 1689887952. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Lifetime Dental Care Of Illinois, Pc's physical address?

The Lifetime Dental Care Of Illinois, Pc is physically located at 2633 Chatham Road, in the city of Springfield, IL, with the postal code 62704.

What is Lifetime Dental Care Of Illinois, Pc's area of expertise and its corresponding taxonomy classification?

The Lifetime Dental Care Of Illinois, Pc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1689887952 assigned to Lifetime Dental Care Of Illinois, Pc?

The Lifetime Dental Care Of Illinois, Pc was issued its 1689887952 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Lifetime Dental Care Of Illinois, Pc most recently updated or refreshed?

The details pertaining to the Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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