Midwest Family Dentistry Pc in Granite City - Customized Equipment
Midwest Family Dentistry Pc - NPI 1558484410
Midwest Family Dentistry Pc is a Customized Equipment in Granite City, Illinois. Midwest Family Dentistry Pc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Midwest Family Dentistry Pc is 1558484410. The last update date is 2015-08-11.
Midwest Family Dentistry Pc's current location address is 3120 Maryville Rd, Granite City, Illinois. You can contact this provider via phone number 6187979940. The mailing address for Midwest Family Dentistry Pc is 3120 Maryville Rd, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Family Dentistry Pc |
|---|---|
| Address | 3120 Maryville Rd, Granite City, Illinois |
| Phone Number | 6187979940 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schuman-Boys Elayne Laney |
| Credentials | DMD |
| Telephone Number | 6187979940 |
NPI Number Detail
| NPI Number | 1558484410 |
|---|---|
| Provider Enumeration Date | 2007-04-07 |
| Last Updated Date | 2015-08-11 |
Provider Mailing Address Detail
| Address | 3120 Maryville Rd |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 620405119 |
| Phone Number | 6187979940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
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Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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What is the unique identification code assigned to Midwest Family Dentistry Pc by the Centers for Medicare & Medicaid Services?
The Midwest Family Dentistry Pc has been issued the NPI (National Provider Identifier) 1558484410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Midwest Family Dentistry Pc is located?
The Midwest Family Dentistry Pc is situated at the following address: 3120 Maryville Rd, Granite City, IL, 620405119.
What is Midwest Family Dentistry Pc's area of expertise and its corresponding taxonomy classification?
The Midwest Family Dentistry Pc's field of specialization is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558484410 to Midwest Family Dentistry Pc?
The Centers for Medicare & Medicaid Services originally issued the 1558484410 to Midwest Family Dentistry Pc on 2007-04-07.
When was the Midwest Family Dentistry Pc's information last updated?
The Midwest Family Dentistry Pc's information was last updated on 2015-08-11.