Mary Ann Rackauskas in Springfield - Pediatric Dentistry
Mary Ann Rackauskas - NPI 1982734919
Mary Ann Rackauskas is a Pediatric Dentistry in Springfield, Illinois. Mary Ann Rackauskas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mary Ann Rackauskas is 1982734919. The last update date is 2007-07-08.
Mary Ann Rackauskas's current location address is 1112 Rickard Rd, Springfield, Illinois. You can contact this provider via phone number 2175465437 and fax number 2175465497. The mailing address for Mary Ann Rackauskas is 1112 Rickard Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Rackauskas |
|---|---|
| Address | 1112 Rickard Rd, Springfield, Illinois |
| Phone Number | 2175465437 |
| Fax Number | 2175465497 |
| Sole Proprietor | Y |
| Credentials | D.M.D.M.S |
NPI Number Detail
| NPI Number | 1982734919 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1112 Rickard Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627041017 |
| Phone Number | 2175465437 |
| Fax Number | 2175465497 |
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 Mary Ann Rackauskas's unique identification number?
The Mary Ann Rackauskas has been assigned the NPI (National Provider Identifier) Number 1982734919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mary Ann Rackauskas is physically located?
The Mary Ann Rackauskas is situated at the following address: 1112 Rickard Rd, Springfield, IL 627041017.
What is the Mary Ann Rackauskas's area of specialization and corresponding taxonomy classification?
The Mary Ann Rackauskas's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1982734919 to Mary Ann Rackauskas?
The Mary Ann Rackauskas received its 1982734919 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the Mary Ann Rackauskas's details last updated?
The information pertaining to the Mary Ann Rackauskas, including its address, specialty, and other details, was most recently updated on 2007-07-08.