Dina Lunken Dds, Pc in Peru - Pediatric Dentistry
Dina Lunken Dds, Pc - NPI 1124032867
Dina Lunken Dds, Pc is a Pediatric Dentistry in Peru, Illinois. Dina Lunken Dds, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dina Lunken Dds, Pc is 1124032867. The last update date is 2020-08-22.
Dina Lunken Dds, Pc's current location address is 803 21st St, Peru, Illinois. You can contact this provider via phone number 8152236622. The mailing address for Dina Lunken Dds, Pc is 803 21st St, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dina Lunken Dds, Pc |
|---|---|
| Address | 803 21st St, Peru, Illinois |
| Phone Number | 8152236622 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lunken F. Dina |
| Credentials | D.D.S. |
| Telephone Number | 8152236622 |
NPI Number Detail
| NPI Number | 1124032867 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 803 21st St |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613541584 |
| Phone Number | 8152236622 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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 Dina Lunken Dds, Pc's unique identification number?
The Dina Lunken Dds, Pc has been assigned the NPI (National Provider Identifier) Number 1124032867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dina Lunken Dds, Pc located?
The Dina Lunken Dds, Pc is located at 803 21St St, Peru, IL 613541584.
What is Dina Lunken Dds, Pc's area of expertise and its corresponding taxonomy classification?
The Dina Lunken Dds, Pc'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 Centers for Medicare & Medicaid Services originally issue the 1124032867 to Dina Lunken Dds, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1124032867 to Dina Lunken Dds, Pc on 2006-07-28.
As of what date were the Dina Lunken Dds, Pc's details last updated?
The information pertaining to the Dina Lunken Dds, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.