Michael Degould Dds Pc in Rockford - Oral And Maxillofacial Surgery
Michael Degould Dds Pc - NPI 1346318532
Michael Degould Dds Pc is a Oral And Maxillofacial Surgery in Rockford, Illinois. Michael Degould Dds Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael Degould Dds Pc is 1346318532. The last update date is 2013-01-28.
Michael Degould Dds Pc's current location address is 2835 Mcfarland Road, Rockford, Illinois. You can contact this provider via phone number 8156540039 and fax number 8156540650. The mailing address for Michael Degould Dds Pc is 2835 Mcfarland Road, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Michael Degould Dds Pc |
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Address | 2835 Mcfarland Road, Rockford, Illinois |
Phone Number | 8156540039 |
Fax Number | 8156540650 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ORAL SURGE |
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Authorized Official Name | Degould David Michael |
Credentials | DDS |
Telephone Number | 8156540039 |
NPI Number Detail
NPI Number | 1346318532 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2013-01-28 |
Provider Mailing Address Detail
Address | 2835 Mcfarland Road |
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City | Rockford |
State | Illinois (IL) |
Post Code | 61107 |
Phone Number | 8156540039 |
Fax Number | 8156540650 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 21001500 |
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 issued to Michael Degould Dds Pc by the Centers for Medicare & Medicaid Services?
The Michael Degould Dds Pc has been assigned the NPI (National Provider Identifier) 1346318532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Michael Degould Dds Pc is located?
The Michael Degould Dds Pc is situated at the following address: 2835 Mcfarland Road, Rockford, IL, 61107.
What is Michael Degould Dds Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Degould Dds Pc is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When was the Michael Degould Dds Pc's 1346318532 issued?
The Michael Degould Dds Pc's 1346318532 was issued on 2006-12-04.
As of what date was the information regarding Michael Degould Dds Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Degould Dds Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-28.