Richard Mark Port in Vernon Hills - Orthodontics And Dentofacial Orthopedics
Richard Mark Port - NPI 1518033828
Richard Mark Port is a Orthodontics And Dentofacial Orthopedics in Vernon Hills, Illinois. Richard Mark Port practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Mark Port is 1518033828. The last update date is 2007-07-08.
Richard Mark Port's current location address is 1 E Phillip Rd, Vernon Hills, Illinois. You can contact this provider via phone number 8473676068 and fax number 8473676079. The mailing address for Richard Mark Port is 1 E Phillip Rd, Vernon Hills, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Mark Port |
---|---|
Address | 1 E Phillip Rd, Vernon Hills, Illinois |
Phone Number | 8473676068 |
Fax Number | 8473676079 |
Sole Proprietor | N |
Credentials | DDS, MS |
NPI Number Detail
NPI Number | 1518033828 |
---|---|
Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1 E Phillip Rd |
---|---|
City | Vernon Hills |
State | Illinois (IL) |
Post Code | 600611858 |
Phone Number | 8473676068 |
Fax Number | 8473676079 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Mark Port?
The Richard Mark Port has been issued the NPI (National Provider Identifier) 1518033828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Richard Mark Port is physically located?
The Richard Mark Port is situated at the following address: 1 E Phillip Rd, Vernon Hills, IL 600611858.
What is Richard Mark Port's area of expertise and its corresponding taxonomy classification?
The Richard Mark Port's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518033828 to Richard Mark Port?
The Centers for Medicare & Medicaid Services originally issued the 1518033828 to Richard Mark Port on 2006-11-28.
As of what date were the Richard Mark Port's details last updated?
The information pertaining to the Richard Mark Port, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN