Heartland Family Dental Care Of Illinois, Pc in Champaign - Orthodontics And Dentofacial Orthopedics
Heartland Family Dental Care Of Illinois, Pc - NPI 1730372012
Heartland Family Dental Care Of Illinois, Pc is a Orthodontics And Dentofacial Orthopedics in Champaign, Illinois. Heartland Family Dental Care Of Illinois, Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Heartland Family Dental Care Of Illinois, Pc is 1730372012. The last update date is 2007-08-21.
Heartland Family Dental Care Of Illinois, Pc's current location address is 314 W Kirby Ave, Champaign, Illinois. You can contact this provider via phone number 2173668371 and fax number 2173668372. The mailing address for Heartland Family Dental Care Of Illinois, Pc is 314 W Kirby Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heartland Family Dental Care Of Illinois, Pc |
|---|---|
| Address | 314 W Kirby Ave, Champaign, Illinois |
| Phone Number | 2173668371 |
| Fax Number | 2173668372 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COORD |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1730372012 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 314 W Kirby Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618207208 |
| Phone Number | 2173668371 |
| Fax Number | 2173668372 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Heartland Family Dental Care Of Illinois, Pc's 1730372012?
The Heartland Family Dental Care Of Illinois, Pc's NPI (National Provider Identifier) Number is 1730372012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Heartland Family Dental Care Of Illinois, Pc is physically located?
The Heartland Family Dental Care Of Illinois, Pc is physically situated at the following address: 314 W Kirby Ave, Champaign, IL, 618207208.
What is Heartland Family Dental Care Of Illinois, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heartland Family Dental Care Of Illinois, Pc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did Heartland Family Dental Care Of Illinois, Pc receive its 1730372012 assignment from the Centers for Medicare & Medicaid Services?
The Heartland Family Dental Care Of Illinois, Pc was assigned its 1730372012 on 2007-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Heartland Family Dental Care Of Illinois, Pc's information last updated?
The Heartland Family Dental Care Of Illinois, Pc's information was last updated on 2007-08-21.
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