Delora Eileen Gerhardt in Wonder Lake - Dental Hygienist
Delora Eileen Gerhardt - NPI 1649324146
Delora Eileen Gerhardt is a Dental Hygienist in Wonder Lake, Illinois. Delora Eileen Gerhardt practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Delora Eileen Gerhardt is 1649324146. The last update date is 2007-07-08.
Delora Eileen Gerhardt's current location address is Po Box 172, Wonder Lake, Illinois. You can contact this provider via phone number 8156539573. The mailing address for Delora Eileen Gerhardt is Po Box 172, Wonder Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delora Eileen Gerhardt |
|---|---|
| Address | Po Box 172, Wonder Lake, Illinois |
| Phone Number | 8156539573 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1649324146 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 172 |
|---|---|
| City | Wonder Lake |
| State | Illinois (IL) |
| Post Code | 600970172 |
| Phone Number | 8156539573 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identifier code assigned to Delora Eileen Gerhardt by the Centers for Medicare & Medicaid Services?
The Delora Eileen Gerhardt has been issued the NPI (National Provider Identifier) 1649324146 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Delora Eileen Gerhardt's physical address?
The Delora Eileen Gerhardt is physically located at Po Box 172, in the city of Wonder Lake, IL, with the postal code 600970172.
What is Delora Eileen Gerhardt's area of expertise and its corresponding taxonomy classification?
The Delora Eileen Gerhardt's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Delora Eileen Gerhardt receive its 1649324146 assignment?
The Delora Eileen Gerhardt was assigned its 1649324146 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Delora Eileen Gerhardt most recently updated or refreshed?
The details pertaining to the Delora Eileen Gerhardt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.