Brian Kloberdanz in Dekalb - Oral And Maxillofacial Surgery
Brian Kloberdanz - NPI 1154474328
Brian Kloberdanz is a Oral And Maxillofacial Surgery in Dekalb, Illinois. Brian Kloberdanz practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brian Kloberdanz is 1154474328. The last update date is 2007-07-08.
Brian Kloberdanz's current location address is 1406 Sycamore Rd Ste D, Dekalb, Illinois. You can contact this provider via phone number 8157580633. The mailing address for Brian Kloberdanz is 1406 Sycamore Rd Ste D, Dekalb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Kloberdanz |
|---|---|
| Address | 1406 Sycamore Rd Ste D, Dekalb, Illinois |
| Phone Number | 8157580633 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154474328 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1406 Sycamore Rd Ste D |
|---|---|
| City | Dekalb |
| State | Illinois (IL) |
| Post Code | 601152063 |
| Phone Number | 8157580633 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Brian Kloberdanz?
The Brian Kloberdanz has been issued the NPI (National Provider Identifier) 1154474328 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 Brian Kloberdanz's facilities are situated?
The facilities of Brian Kloberdanz are physically located at the following address: 1406 Sycamore Rd Ste D, Dekalb, IL, 601152063.
What is the area of specialization for Brian Kloberdanz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Kloberdanz is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154474328 to Brian Kloberdanz?
The Centers for Medicare & Medicaid Services originally issued the 1154474328 to Brian Kloberdanz on 2007-01-19.
As of what date were the details related to Brian Kloberdanz most recently updated or revised?
The information pertaining to Brian Kloberdanz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.