Mark Alan Rose in Springfield - General Practice
Mark Alan Rose - NPI 1164593018
Mark Alan Rose is a General Practice in Springfield, Illinois. Mark Alan Rose practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Alan Rose is 1164593018. The last update date is 2007-07-08.
Mark Alan Rose's current location address is 2525 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2177876600 and fax number 2177878141. The mailing address for Mark Alan Rose is 2525 W Iles Ave, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alan Rose |
|---|---|
| Address | 2525 W Iles Ave, Springfield, Illinois |
| Phone Number | 2177876600 |
| Fax Number | 2177878141 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1164593018 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2525 W Iles Ave |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627044283 |
| Phone Number | 2177876600 |
| Fax Number | 2177878141 |
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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Alan Rose by the Centers for Medicare & Medicaid Services?
The Mark Alan Rose has been assigned the NPI (National Provider Identifier) 1164593018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mark Alan Rose's facilities are geographically located?
The facilities of Mark Alan Rose are physically situated at the following location: 2525 W Iles Ave, Springfield, IL, 627044283.
What is the Mark Alan Rose's specialty and taxonomy code?
The Mark Alan Rose's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164593018 to Mark Alan Rose?
The Mark Alan Rose received its 1164593018 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date was the information pertaining to Mark Alan Rose, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Alan Rose, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.