Kenneth Glenn Rawson in Alton - Pediatric Dentistry
Kenneth Glenn Rawson - NPI 1295890366
Kenneth Glenn Rawson is a Pediatric Dentistry in Alton, Illinois. Kenneth Glenn Rawson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kenneth Glenn Rawson is 1295890366. The last update date is 2007-08-09.
Kenneth Glenn Rawson's current location address is 2800 College Ave, Alton, Illinois. You can contact this provider via phone number 6184747291 and fax number 6184747089. The mailing address for Kenneth Glenn Rawson is 2800 College Ave, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Glenn Rawson |
|---|---|
| Address | 2800 College Ave, Alton, Illinois |
| Phone Number | 6184747291 |
| Fax Number | 6184747089 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295890366 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 2800 College Ave |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620024742 |
| Phone Number | 6184747291 |
| Fax Number | 6184747089 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | LL-072-05 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code issued to Kenneth Glenn Rawson by the Centers for Medicare & Medicaid Services?
The Kenneth Glenn Rawson has been assigned the NPI (National Provider Identifier) 1295890366 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth Glenn Rawson's facilities are situated?
The facilities of Kenneth Glenn Rawson are physically located at the following address: 2800 College Ave, Alton, IL, 620024742.
What is Kenneth Glenn Rawson's area of expertise and its corresponding taxonomy classification?
The Kenneth Glenn Rawson's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kenneth Glenn Rawson receive the assignment of its 1295890366 from the Centers for Medicare & Medicaid Services?
The Kenneth Glenn Rawson was issued its 1295890366 by the Centers for Medicare & Medicaid Services on 2006-12-27.
When was the Kenneth Glenn Rawson's information last updated?
The Kenneth Glenn Rawson's information was last updated on 2007-08-09.