Clarence James Red in Joliet - Orthodontics And Dentofacial Orthopedics

Clarence James Red - NPI 1740409663

Clarence James Red is a Orthodontics And Dentofacial Orthopedics in Joliet, Illinois. Clarence James Red practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Clarence James Red is 1740409663. The last update date is 2007-07-08.

Clarence James Red's current location address is 227 N Hammes Ave, Joliet, Illinois. You can contact this provider via phone number 8157442990 and fax number 8157448105. The mailing address for Clarence James Red is 227 N Hammes Ave, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Clarence James Red
Address 227 N Hammes Ave, Joliet, Illinois
Phone Number 8157442990
Fax Number 8157448105
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1740409663
Provider Enumeration Date 2007-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 227 N Hammes Ave
City Joliet
State Illinois (IL)
Post Code 604358115
Phone Number 8157442990
Fax Number 8157448105

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

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FAQs about Clarence James Red

What is the unique 10-digit identifier code issued to Clarence James Red by the Centers for Medicare & Medicaid Services?

The Clarence James Red has been assigned the NPI (National Provider Identifier) 1740409663 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Clarence James Red's facilities are geographically located?

The facilities of Clarence James Red are physically situated at the following location: 227 N Hammes Ave, Joliet, IL, 604358115.

What is the Clarence James Red's specialty and taxonomy code?

The Clarence James Red's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date was the 1740409663 assigned to Clarence James Red?

The Clarence James Red was issued its 1740409663 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Clarence James Red, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Clarence James Red, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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