Stockton Dental Center, Inc. in Stockton - General Practice
Stockton Dental Center, Inc. - NPI 1093880536
Stockton Dental Center, Inc. is a General Practice in Stockton, Illinois. Stockton Dental Center, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stockton Dental Center, Inc. is 1093880536. The last update date is 2007-08-16.
Stockton Dental Center, Inc.'s current location address is 120 W Front Ave, Stockton, Illinois. You can contact this provider via phone number 8159473700 and fax number 8179479058. The mailing address for Stockton Dental Center, Inc. is 120 W Front Ave, Stockton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stockton Dental Center, Inc. |
|---|---|
| Address | 120 W Front Ave, Stockton, Illinois |
| Phone Number | 8159473700 |
| Fax Number | 8179479058 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Petras F Stephen |
| Credentials | DMD |
| Telephone Number | 8159473700 |
NPI Number Detail
| NPI Number | 1093880536 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 120 W Front Ave |
|---|---|
| City | Stockton |
| State | Illinois (IL) |
| Post Code | 610851318 |
| Phone Number | 8159473700 |
| Fax Number | 8179479058 |
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 identifier code assigned to Stockton Dental Center, Inc. by the Centers for Medicare & Medicaid Services?
The Stockton Dental Center, Inc. has been issued the NPI (National Provider Identifier) 1093880536 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stockton Dental Center, Inc. is located?
The Stockton Dental Center, Inc. is situated at the following address: 120 W Front Ave, Stockton, IL, 610851318.
What is the Stockton Dental Center, Inc.'s area of specialization and corresponding taxonomy classification?
The Stockton Dental Center, Inc.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Stockton Dental Center, Inc. receive its 1093880536?
The Stockton Dental Center, Inc. was issued its 1093880536 on 2006-11-21, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Stockton Dental Center, Inc. last refreshed?
The information related to the Stockton Dental Center, Inc., including its address, specialty, and other relevant details, was last updated on 2007-08-16.