Lifetime Dental Care Of Illinois, Pc in Springfield - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1700099066
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 1700099066. The last update date is 2022-02-01.
Lifetime Dental Care Of Illinois, Pc's current location address is 2701 S Koke Mill Rd, Springfield, Illinois. You can contact this provider via phone number 2177938899 and fax number 2177939662. The mailing address for Lifetime Dental Care Of Illinois, Pc is 2701 S Koke Mill Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 2701 S Koke Mill Rd, Springfield, Illinois |
| Phone Number | 2177938899 |
| Fax Number | 2177939662 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Hayes Celia |
| Telephone Number | 2175402100 |
NPI Number Detail
| NPI Number | 1700099066 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2022-02-01 |
Provider Mailing Address Detail
| Address | 2701 S Koke Mill Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627118194 |
| Phone Number | 2177938899 |
| Fax Number | 2177939662 |
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 1700099066 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Lifetime Dental Care Of Illinois, Pc is geographically located?
The Lifetime Dental Care Of Illinois, Pc is physically situated at the following location: 2701 S Koke Mill Rd, Springfield, IL, 627118194.
What is Lifetime Dental Care Of Illinois, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lifetime Dental Care Of Illinois, Pc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700099066 to Lifetime Dental Care Of Illinois, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1700099066 to Lifetime Dental Care Of Illinois, Pc on 2007-05-07.
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 2022-02-01.