William E. Cusack in Peoria - Periodontics
William E. Cusack - NPI 1538173216
William E. Cusack is a Periodontics in Peoria, Illinois. William E. Cusack practices all healthcare services and medical treatments related to Periodontics. The NPI Number for William E. Cusack is 1538173216. The last update date is 2007-07-08.
William E. Cusack's current location address is 5013 N University St, Peoria, Illinois. You can contact this provider via phone number 3096932220 and fax number 3096932272. The mailing address for William E. Cusack is 5013 N University St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William E. Cusack |
|---|---|
| Address | 5013 N University St, Peoria, Illinois |
| Phone Number | 3096932220 |
| Fax Number | 3096932272 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538173216 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5013 N University St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144792 |
| Phone Number | 3096932220 |
| Fax Number | 3096932272 |
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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Post Comment/ Review Below
What is the unique provider identifier assigned to William E. Cusack?
The William E. Cusack has been issued the NPI (National Provider Identifier) 1538173216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where William E. Cusack's facilities are situated?
The facilities of William E. Cusack are physically located at the following address: 5013 N University St, Peoria, IL, 616144792.
What is the William E. Cusack's specialty and taxonomy code?
The William E. Cusack's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did William E. Cusack receive its 1538173216 assignment?
The William E. Cusack was assigned its 1538173216 on 2006-07-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to William E. Cusack most recently updated or revised?
The information pertaining to William E. Cusack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH