Facial Cosmetic & Reconstructive Surgery, Sc in Dunlap - Oral And Maxillofacial Surgery
Facial Cosmetic & Reconstructive Surgery, Sc - NPI 1417123076
Facial Cosmetic & Reconstructive Surgery, Sc is a Oral And Maxillofacial Surgery in Dunlap, Illinois. Facial Cosmetic & Reconstructive Surgery, Sc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Facial Cosmetic & Reconstructive Surgery, Sc is 1417123076. The last update date is 2008-05-05.
Facial Cosmetic & Reconstructive Surgery, Sc's current location address is 11825 N Knoxville Ave, Dunlap, Illinois. You can contact this provider via phone number 3092438980 and fax number 3092438983. The mailing address for Facial Cosmetic & Reconstructive Surgery, Sc is 11825 N Knoxville Ave, Dunlap, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Facial Cosmetic & Reconstructive Surgery, Sc |
|---|---|
| Address | 11825 N Knoxville Ave, Dunlap, Illinois |
| Phone Number | 3092438980 |
| Fax Number | 3092438983 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Morrison Christine Wendy |
| Telephone Number | 3092438980 |
NPI Number Detail
| NPI Number | 1417123076 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 11825 N Knoxville Ave |
|---|---|
| City | Dunlap |
| State | Illinois (IL) |
| Post Code | 615258842 |
| Phone Number | 3092438980 |
| Fax Number | 3092438983 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | 19025195 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Facial Cosmetic & Reconstructive Surgery, Sc by the Centers for Medicare & Medicaid Services?
The Facial Cosmetic & Reconstructive Surgery, Sc has been issued the NPI (National Provider Identifier) 1417123076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Facial Cosmetic & Reconstructive Surgery, Sc is located?
The Facial Cosmetic & Reconstructive Surgery, Sc is situated at the following address: 11825 N Knoxville Ave, Dunlap, IL, 615258842.
What is Facial Cosmetic & Reconstructive Surgery, Sc's area of expertise and its corresponding taxonomy classification?
The Facial Cosmetic & Reconstructive Surgery, Sc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 261Qs0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417123076 to Facial Cosmetic & Reconstructive Surgery, Sc?
The Centers for Medicare & Medicaid Services originally issued the 1417123076 to Facial Cosmetic & Reconstructive Surgery, Sc on 2008-05-05.
As of what date were the details related to Facial Cosmetic & Reconstructive Surgery, Sc most recently updated or revised?
The information pertaining to Facial Cosmetic & Reconstructive Surgery, Sc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-05.