Sarah Bush Lincoln Dental Services in Mattoon - Dental

Sarah Bush Lincoln Dental Services - NPI 1114198744

Sarah Bush Lincoln Dental Services is a Dental in Mattoon, Illinois. Sarah Bush Lincoln Dental Services practices all healthcare services and medical treatments related to Dental. The NPI Number for Sarah Bush Lincoln Dental Services is 1114198744. The last update date is 2018-11-14.

Sarah Bush Lincoln Dental Services's current location address is 225 Richmond Ave E Ste B, Mattoon, Illinois. You can contact this provider via phone number 2172350800 and fax number 2172350801. The mailing address for Sarah Bush Lincoln Dental Services is 225 Richmond Ave E Ste B, Mattoon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sarah Bush Lincoln Dental Services
Address 225 Richmond Ave E Ste B, Mattoon, Illinois
Phone Number 2172350800
Fax Number 2172350801
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP OF FINA
Authorized Official Name Pluard Dennis
Telephone Number 2172582102

NPI Number Detail

NPI Number 1114198744
Provider Enumeration Date 2008-03-24
Last Updated Date 2018-11-14

Provider Mailing Address Detail

Address 225 Richmond Ave E Ste B
City Mattoon
State Illinois (IL)
Post Code 619384651
Phone Number 2172350800
Fax Number 2172350801

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Sarah Bush Lincoln Dental Services

What is the unique identifier code issued to Sarah Bush Lincoln Dental Services by the Centers for Medicare & Medicaid Services?

The Sarah Bush Lincoln Dental Services has been assigned the NPI (National Provider Identifier) 1114198744. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Sarah Bush Lincoln Dental Services?

The Sarah Bush Lincoln Dental Services is physically situated at 225 Richmond Ave E Ste B, in the city of Mattoon, state of IL, with the postal code 619384651.

What is Sarah Bush Lincoln Dental Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sarah Bush Lincoln Dental Services is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.

On what date did the Sarah Bush Lincoln Dental Services receive the assignment of its 1114198744 from the Centers for Medicare & Medicaid Services?

The Sarah Bush Lincoln Dental Services was issued its 1114198744 by the Centers for Medicare & Medicaid Services on 2008-03-24.

As of what date were the Sarah Bush Lincoln Dental Services's details last updated?

The information pertaining to the Sarah Bush Lincoln Dental Services, including its address, specialty, and other details, was most recently updated on 2018-11-14.

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