Tazewell County Health Department -Dental Health Center in North Pekin - Public Health Or Welfare
Tazewell County Health Department -Dental Health Center - NPI 1649308230
Tazewell County Health Department -Dental Health Center is a Public Health Or Welfare in North Pekin, Illinois. Tazewell County Health Department -Dental Health Center practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Tazewell County Health Department -Dental Health Center is 1649308230. The last update date is 2008-06-20.
Tazewell County Health Department -Dental Health Center's current location address is 135 Radio City Drive, North Pekin, Illinois. You can contact this provider via phone number 3093822229 and fax number 3093821155. The mailing address for Tazewell County Health Department -Dental Health Center is 135 Radio City Drive, North Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tazewell County Health Department -Dental Health Center |
|---|---|
| Address | 135 Radio City Drive, North Pekin, Illinois |
| Phone Number | 3093822229 |
| Fax Number | 3093821155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Marshall Lee Jerry |
| Credentials | DMD |
| Telephone Number | 3093822229 |
NPI Number Detail
| NPI Number | 1649308230 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 135 Radio City Drive |
|---|---|
| City | North Pekin |
| State | Illinois (IL) |
| Post Code | 61554 |
| Phone Number | 3093822229 |
| Fax Number | 3093821155 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
| Licence No | E9993-0978-0 |
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Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
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What is the unique 10-digit identification code issued to Tazewell County Health Department -Dental Health Center by the Centers for Medicare & Medicaid Services?
The Tazewell County Health Department -Dental Health Center has been assigned the NPI (National Provider Identifier) 1649308230 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tazewell County Health Department -Dental Health Center?
The Tazewell County Health Department -Dental Health Center is physically situated at 135 Radio City Drive, in the city of North Pekin, state of IL, with the postal code 61554.
What is Tazewell County Health Department -Dental Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tazewell County Health Department -Dental Health Center is Public Health Or Welfare, and the taxonomy code that categorizes this field of expertise is 251K00000X.
On what date did Tazewell County Health Department -Dental Health Center receive its 1649308230 assignment from the Centers for Medicare & Medicaid Services?
The Tazewell County Health Department -Dental Health Center was assigned its 1649308230 on 2007-03-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tazewell County Health Department -Dental Health Center's details last updated?
The information pertaining to the Tazewell County Health Department -Dental Health Center, including its address, specialty, and other details, was most recently updated on 2008-06-20.