Lifetime Dental Care Of Illinois, Pc in Springfield - General Practice
Lifetime Dental Care Of Illinois, Pc - NPI 1720200074
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 1720200074. The last update date is 2020-08-22.
Lifetime Dental Care Of Illinois, Pc's current location address is 3124 Montvale Drive, Springfield, Illinois. You can contact this provider via phone number 2175468777 and fax number 2175469547. The mailing address for Lifetime Dental Care Of Illinois, Pc is 3124 Montvale Drive, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Address | 3124 Montvale Drive, Springfield, Illinois |
| Phone Number | 2175468777 |
| Fax Number | 2175469547 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1720200074 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3124 Montvale Drive |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 62704 |
| Phone Number | 2175468777 |
| Fax Number | 2175469547 |
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 identification code issued to Lifetime Dental Care Of Illinois, Pc by the Centers for Medicare & Medicaid Services?
The Lifetime Dental Care Of Illinois, Pc has been assigned the NPI (National Provider Identifier) 1720200074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Lifetime Dental Care Of Illinois, Pc is physically located?
The Lifetime Dental Care Of Illinois, Pc is situated at the following address: 3124 Montvale Drive, Springfield, IL 62704.
What is Lifetime Dental Care Of Illinois, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lifetime Dental Care Of Illinois, Pc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720200074 to Lifetime Dental Care Of Illinois, Pc?
The Centers for Medicare & Medicaid Services assigned the 1720200074 to Lifetime Dental Care Of Illinois, Pc on 2007-05-03.
As of what date was the information regarding Lifetime Dental Care Of Illinois, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lifetime Dental Care Of Illinois, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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