Robin Brent Blakkolb in Downers Grove - Oral And Maxillofacial Surgery
Robin Brent Blakkolb - NPI 1508945437
Robin Brent Blakkolb is a Oral And Maxillofacial Surgery in Downers Grove, Illinois. Robin Brent Blakkolb practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Robin Brent Blakkolb is 1508945437. The last update date is 2008-04-23.
Robin Brent Blakkolb's current location address is 6800 Main St, Downers Grove, Illinois. You can contact this provider via phone number 6309645880. The mailing address for Robin Brent Blakkolb is 6800 Main St, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Brent Blakkolb |
|---|---|
| Address | 6800 Main St, Downers Grove, Illinois |
| Phone Number | 6309645880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508945437 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 6800 Main St |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605163493 |
| Phone Number | 6309645880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 021-001127 |
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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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What is the unique 10-digit identification code assigned to Robin Brent Blakkolb by the Centers for Medicare & Medicaid Services?
The Robin Brent Blakkolb has been issued the NPI (National Provider Identifier) 1508945437, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robin Brent Blakkolb?
The Robin Brent Blakkolb is situated at 6800 Main St, in the city of Downers Grove, state of IL, with the zip code 605163493.
What is Robin Brent Blakkolb's area of expertise and its corresponding taxonomy classification?
The Robin Brent Blakkolb's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1508945437 assigned to Robin Brent Blakkolb?
The Robin Brent Blakkolb was issued its 1508945437 on 2006-11-02, 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 related to Robin Brent Blakkolb most recently updated or revised?
The information pertaining to Robin Brent Blakkolb, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-23.