Naylor Periodontics, P.C. in Maryville - Periodontics
Naylor Periodontics, P.C. - NPI 1528072477
Naylor Periodontics, P.C. is a Periodontics in Maryville, Illinois. Naylor Periodontics, P.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Naylor Periodontics, P.C. is 1528072477. The last update date is 2015-01-05.
Naylor Periodontics, P.C.'s current location address is 4956 Autumn Oaks Dr, Maryville, Illinois. You can contact this provider via phone number 6182881550 and fax number 6182880045. The mailing address for Naylor Periodontics, P.C. is 4956 Autumn Oaks Dr, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Naylor Periodontics, P.C. |
|---|---|
| Address | 4956 Autumn Oaks Dr, Maryville, Illinois |
| Phone Number | 6182881550 |
| Fax Number | 6182880045 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Naylor Ryan Jeffrey |
| Credentials | D.M.D., M. |
| Telephone Number | 6182881550 |
NPI Number Detail
| NPI Number | 1528072477 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 4956 Autumn Oaks Dr |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628504 |
| Phone Number | 6182881550 |
| Fax Number | 6182880045 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21.002526 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Naylor Periodontics, P.C.?
The Naylor Periodontics, P.C. has been issued the NPI (National Provider Identifier) 1528072477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Naylor Periodontics, P.C.'s facilities are geographically located?
The facilities of Naylor Periodontics, P.C. are physically situated at the following location: 4956 Autumn Oaks Dr, Maryville, IL, 620628504.
What is the Naylor Periodontics, P.C.'s specialty and taxonomy code?
The Naylor Periodontics, P.C.'s specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528072477 to Naylor Periodontics, P.C.?
The Naylor Periodontics, P.C. received its 1528072477 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the Naylor Periodontics, P.C.'s details last updated?
The information pertaining to the Naylor Periodontics, P.C., including its address, specialty, and other details, was most recently updated on 2015-01-05.