Midwest Orthodontic Associates in Peoria - Orthodontics And Dentofacial Orthopedics
Midwest Orthodontic Associates - NPI 1306988092
Midwest Orthodontic Associates is a Orthodontics And Dentofacial Orthopedics in Peoria, Illinois. Midwest Orthodontic Associates practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Midwest Orthodontic Associates is 1306988092. The last update date is 2020-08-22.
Midwest Orthodontic Associates's current location address is 5006 N University St, Peoria, Illinois. You can contact this provider via phone number 3096919665 and fax number 3096919665. The mailing address for Midwest Orthodontic Associates is 5006 N University St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Orthodontic Associates |
|---|---|
| Address | 5006 N University St, Peoria, Illinois |
| Phone Number | 3096919665 |
| Fax Number | 3096919665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Roehm C Stephen |
| Credentials | D.D.S, M.S |
| Telephone Number | 3096919665 |
NPI Number Detail
| NPI Number | 1306988092 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5006 N University St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144715 |
| Phone Number | 3096919665 |
| Fax Number | 3096919665 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1004551 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Midwest Orthodontic Associates by the Centers for Medicare & Medicaid Services?
The Midwest Orthodontic Associates has been assigned the NPI (National Provider Identifier) 1306988092 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 address where Midwest Orthodontic Associates is physically located?
The Midwest Orthodontic Associates is situated at the following address: 5006 N University St, Peoria, IL 616144715.
What is Midwest Orthodontic Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Midwest Orthodontic Associates's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Midwest Orthodontic Associates receive the assignment of its 1306988092 from the Centers for Medicare & Medicaid Services?
The Midwest Orthodontic Associates was issued its 1306988092 by the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the information regarding Midwest Orthodontic Associates most recently updated?
The details pertaining to the Midwest Orthodontic Associates, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.