Michael Fosselman in Washington - Orthodontics And Dentofacial Orthopedics
Michael Fosselman - NPI 1366514895
Michael Fosselman is a Orthodontics And Dentofacial Orthopedics in Washington, Illinois. Michael Fosselman practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Michael Fosselman is 1366514895. The last update date is 2007-07-08.
Michael Fosselman's current location address is 106 S Cummings Ln, Washington, Illinois. You can contact this provider via phone number 3094449777. The mailing address for Michael Fosselman is 106 S Cummings Ln, Washington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Fosselman |
|---|---|
| Address | 106 S Cummings Ln, Washington, Illinois |
| Phone Number | 3094449777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1366514895 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 106 S Cummings Ln |
|---|---|
| City | Washington |
| State | Illinois (IL) |
| Post Code | 615713442 |
| Phone Number | 3094449777 |
| Fax Number |
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 identifier code assigned to Michael Fosselman by the Centers for Medicare & Medicaid Services?
The Michael Fosselman has been issued the NPI (National Provider Identifier) 1366514895 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael Fosselman?
The Michael Fosselman is situated at 106 S Cummings Ln, in the city of Washington, state of IL, with the zip code 615713442.
What is Michael Fosselman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Fosselman'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 Michael Fosselman receive the assignment of its 1366514895 from the Centers for Medicare & Medicaid Services?
The Michael Fosselman was issued its 1366514895 by the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date were the Michael Fosselman's details last updated?
The information pertaining to the Michael Fosselman, including its address, specialty, and other details, was most recently updated on 2007-07-08.