Barry E Booth in Homer Glen - Orthodontics And Dentofacial Orthopedics
Barry E Booth - NPI 1770629065
Barry E Booth is a Orthodontics And Dentofacial Orthopedics in Homer Glen, Illinois. Barry E Booth practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Barry E Booth is 1770629065. The last update date is 2007-07-08.
Barry E Booth's current location address is 12635 W 143rd St, Homer Glen, Illinois. You can contact this provider via phone number 7083010005 and fax number 7083010063. The mailing address for Barry E Booth is 12635 W 143rd St, Homer Glen, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry E Booth |
|---|---|
| Address | 12635 W 143rd St, Homer Glen, Illinois |
| Phone Number | 7083010005 |
| Fax Number | 7083010063 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1770629065 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12635 W 143rd St |
|---|---|
| City | Homer Glen |
| State | Illinois (IL) |
| Post Code | 604918381 |
| Phone Number | 7083010005 |
| Fax Number | 7083010063 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Barry E Booth by the Centers for Medicare & Medicaid Services?
The Barry E Booth has been issued the NPI (National Provider Identifier) 1770629065, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Barry E Booth's physical address?
The Barry E Booth is physically located at 12635 W 143Rd St, in the city of Homer Glen, IL, with the postal code 604918381.
What is the Barry E Booth's specialty and taxonomy code?
The Barry E Booth's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did Barry E Booth receive its 1770629065 assignment from the Centers for Medicare & Medicaid Services?
The Barry E Booth was assigned its 1770629065 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Barry E Booth most recently updated or revised?
The details related to Barry E Booth, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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