Jeffrey Alan Colligan in East Alton - Periodontics
Jeffrey Alan Colligan - NPI 1831382233
Jeffrey Alan Colligan is a Periodontics in East Alton, Illinois. Jeffrey Alan Colligan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Alan Colligan is 1831382233. The last update date is 2007-08-20.
Jeffrey Alan Colligan's current location address is 160 S Bellwood Dr Ste C, East Alton, Illinois. You can contact this provider via phone number 6182581244. The mailing address for Jeffrey Alan Colligan is 160 S Bellwood Dr Ste C, East Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Alan Colligan |
|---|---|
| Address | 160 S Bellwood Dr Ste C, East Alton, Illinois |
| Phone Number | 6182581244 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1831382233 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 160 S Bellwood Dr Ste C |
|---|---|
| City | East Alton |
| State | Illinois (IL) |
| Post Code | 620242086 |
| Phone Number | 6182581244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique provider identifier assigned to Jeffrey Alan Colligan?
The Jeffrey Alan Colligan has been issued the NPI (National Provider Identifier) 1831382233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jeffrey Alan Colligan located?
The Jeffrey Alan Colligan is located at 160 S Bellwood Dr Ste C, East Alton, IL 620242086.
What is Jeffrey Alan Colligan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Alan Colligan's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date was the 1831382233 assigned to Jeffrey Alan Colligan?
The Jeffrey Alan Colligan was issued its 1831382233 on 2007-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jeffrey Alan Colligan last refreshed?
The information related to the Jeffrey Alan Colligan, including its address, specialty, and other relevant details, was last updated on 2007-08-20.
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