Richard N. Brochu in Libertyville - Orthodontics And Dentofacial Orthopedics
Richard N. Brochu - NPI 1265577514
Richard N. Brochu is a Orthodontics And Dentofacial Orthopedics in Libertyville, Illinois. Richard N. Brochu practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard N. Brochu is 1265577514. The last update date is 2007-07-08.
Richard N. Brochu's current location address is 1105 W Park Ave, Libertyville, Illinois. You can contact this provider via phone number 8473677150 and fax number 8473625968. The mailing address for Richard N. Brochu is 1105 W Park Ave, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard N. Brochu |
|---|---|
| Address | 1105 W Park Ave, Libertyville, Illinois |
| Phone Number | 8473677150 |
| Fax Number | 8473625968 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265577514 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1105 W Park Ave |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600482567 |
| Phone Number | 8473677150 |
| Fax Number | 8473625968 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 19A14268-1 |
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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 identifier code issued to Richard N. Brochu by the Centers for Medicare & Medicaid Services?
The Richard N. Brochu has been assigned the NPI (National Provider Identifier) 1265577514. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard N. Brochu's facilities are geographically located?
The facilities of Richard N. Brochu are physically situated at the following location: 1105 W Park Ave, Libertyville, IL, 600482567.
What is Richard N. Brochu's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard N. Brochu is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
When did Richard N. Brochu receive its 1265577514 assignment?
The Richard N. Brochu was assigned its 1265577514 on 2007-02-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Richard N. Brochu most recently updated or revised?
The details related to Richard N. Brochu, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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