Scott Richard Stanke in Peru - Periodontics
Scott Richard Stanke - NPI 1417060856
Scott Richard Stanke is a Periodontics in Peru, Illinois. Scott Richard Stanke practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Scott Richard Stanke is 1417060856. The last update date is 2007-07-08.
Scott Richard Stanke's current location address is 2050 Marquette Rd, Peru, Illinois. You can contact this provider via phone number 8152244144 and fax number 8152244192. The mailing address for Scott Richard Stanke is 2050 Marquette Rd, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Richard Stanke |
|---|---|
| Address | 2050 Marquette Rd, Peru, Illinois |
| Phone Number | 8152244144 |
| Fax Number | 8152244192 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417060856 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2050 Marquette Rd |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613541597 |
| Phone Number | 8152244144 |
| Fax Number | 8152244192 |
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 identification code assigned to Scott Richard Stanke by the Centers for Medicare & Medicaid Services?
The Scott Richard Stanke has been issued the NPI (National Provider Identifier) 1417060856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Scott Richard Stanke's physical address?
The Scott Richard Stanke is physically located at 2050 Marquette Rd, in the city of Peru, IL, with the postal code 613541597.
What is the area of specialization for Scott Richard Stanke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Scott Richard Stanke is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417060856 to Scott Richard Stanke?
The Centers for Medicare & Medicaid Services originally issued the 1417060856 to Scott Richard Stanke on 2006-08-17.
As of what date was the information regarding Scott Richard Stanke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Scott Richard Stanke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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