Brian R Degise in Peoria - Orthodontics And Dentofacial Orthopedics
Brian R Degise - NPI 1083708648
Brian R Degise is a Orthodontics And Dentofacial Orthopedics in Peoria, Illinois. Brian R Degise practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian R Degise is 1083708648. The last update date is 2007-07-08.
Brian R Degise's current location address is 1318 W Candletree Dr, Peoria, Illinois. You can contact this provider via phone number 3096919171 and fax number 3096936471. The mailing address for Brian R Degise is 1318 W Candletree Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian R Degise |
|---|---|
| Address | 1318 W Candletree Dr, Peoria, Illinois |
| Phone Number | 3096919171 |
| Fax Number | 3096936471 |
| Sole Proprietor | Y |
| Credentials | DDS, PC |
NPI Number Detail
| NPI Number | 1083708648 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1318 W Candletree Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616141586 |
| Phone Number | 3096919171 |
| Fax Number | 3096936471 |
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 provider identifier assigned to Brian R Degise?
The Brian R Degise has been issued the NPI (National Provider Identifier) 1083708648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian R Degise's facilities are geographically located?
The facilities of Brian R Degise are physically situated at the following location: 1318 W Candletree Dr, Peoria, IL, 616141586.
What is Brian R Degise's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian R Degise'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 Centers for Medicare & Medicaid Services issue the 1083708648 to Brian R Degise?
The Brian R Degise received its 1083708648 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Brian R Degise, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian R Degise, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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