Quad City Orthodontic Group, Llc in Rock Island - Orthodontics And Dentofacial Orthopedics
Quad City Orthodontic Group, Llc - NPI 1790872117
Quad City Orthodontic Group, Llc is a Orthodontics And Dentofacial Orthopedics in Rock Island, Illinois. Quad City Orthodontic Group, Llc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Quad City Orthodontic Group, Llc is 1790872117. The last update date is 2008-04-04.
Quad City Orthodontic Group, Llc's current location address is 2850 24th St, Rock Island, Illinois. You can contact this provider via phone number 3097867782 and fax number 3097865829. The mailing address for Quad City Orthodontic Group, Llc is 2850 24th St, Rock Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quad City Orthodontic Group, Llc |
|---|---|
| Address | 2850 24th St, Rock Island, Illinois |
| Phone Number | 3097867782 |
| Fax Number | 3097865829 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER/DOC |
|---|---|
| Authorized Official Name | Richards Bronwen Anne |
| Credentials | D.D.S., M. |
| Telephone Number | 3097867782 |
NPI Number Detail
| NPI Number | 1790872117 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 2850 24th St |
|---|---|
| City | Rock Island |
| State | Illinois (IL) |
| Post Code | 612015308 |
| Phone Number | 3097867782 |
| Fax Number | 3097865829 |
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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What is the Quad City Orthodontic Group, Llc's 1790872117?
The Quad City Orthodontic Group, Llc's NPI (National Provider Identifier) Number is 1790872117. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Quad City Orthodontic Group, Llc?
The Quad City Orthodontic Group, Llc is situated at 2850 24Th St, in the city of Rock Island, state of IL, with the zip code 612015308.
What is Quad City Orthodontic Group, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Quad City Orthodontic Group, Llc is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
When did the Quad City Orthodontic Group, Llc receive its 1790872117?
The Quad City Orthodontic Group, Llc was issued its 1790872117 on 2006-10-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Quad City Orthodontic Group, Llc's details last updated?
The information pertaining to the Quad City Orthodontic Group, Llc, including its address, specialty, and other details, was most recently updated on 2008-04-04.