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JOHN M CONNESS DDS NPI 1265899637


NPI Information

NPI: 1265899637
Provider Name: JOHN M CONNESS DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
211 ARMORY CT
STREATOR, IL
ZIP 61364
Phone: (815) 672-2080
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JOHN M CONNESS DDS is a general practice dentist in Streator, IL. The provider is 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. JOHN M CONNESS DDS NPI is 1265899637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

211 ARMORY CT
STREATOR, IL
ZIP 61364-768
Phone: (815) 672-2080
Fax: (815) 672-4119

The provider's authorized official is John Michael Conness .
The authorized official title is Owner and has the following contact phone number (815) 672-2080.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019018550ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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