NPI 1245428234 PRAIRIE AVENUE DENTAL ASSOCIATES, INC. HEBRON IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Prairie Avenue Dental Associates, Inc. - NPI: 1245428234

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: PRAIRIE AVENUE DENTAL ASSOCIATES, INC.
NPI Number: 1245428234
Entity Type Code: Organizational (2)
Authorized Official Name: RENEE E. DIETZ
(OWNER)
Mailing Address: 12016 Prairie Ave Post Office Box 75
Hebron
State: IL US
Postal Code: 600348892
Phone Number: 8156484095
Fax Number: 8156482881
NPI Enumeration Date: 10/04/2007
NPI Last Update Date: 10/04/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


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