Bryce D. Deter in Sycamore - General Practice
Bryce D. Deter - NPI 1104046689
Bryce D. Deter is a General Practice in Sycamore, Illinois. Bryce D. Deter practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryce D. Deter is 1104046689. The last update date is 2011-09-20.
Bryce D. Deter's current location address is 2025 Aberdeen Court, Sycamore, Illinois. You can contact this provider via phone number 8157583666 and fax number 8157583626. The mailing address for Bryce D. Deter is 2025 Aberdeen Court, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryce D. Deter |
|---|---|
| Address | 2025 Aberdeen Court, Sycamore, Illinois |
| Phone Number | 8157583666 |
| Fax Number | 8157583626 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104046689 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 2025 Aberdeen Court |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 60178 |
| Phone Number | 8157583666 |
| Fax Number | 8157583626 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8079 |
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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 Bryce D. Deter by the Centers for Medicare & Medicaid Services?
The Bryce D. Deter has been assigned the NPI (National Provider Identifier) 1104046689 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 Bryce D. Deter's facilities are geographically located?
The facilities of Bryce D. Deter are physically situated at the following location: 2025 Aberdeen Court, Sycamore, IL, 60178.
What is the Bryce D. Deter's area of specialization and corresponding taxonomy classification?
The Bryce D. Deter's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did Bryce D. Deter receive its 1104046689 assignment?
The Bryce D. Deter was assigned its 1104046689 on 2007-04-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bryce D. Deter last refreshed?
The information related to the Bryce D. Deter, including its address, specialty, and other relevant details, was last updated on 2011-09-20.
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