MEDICARE: DR. JAMES L ARMSTRONG DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1427189380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES L ARMSTRONG DDS

Provider Business Mailing Address
First Line	:	7501 N UNIVERSITY ST STE 220
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-1258
Country	:	US
Telephone Number	:	309-692-3554
Fax Number	:	309-692-6055

Provider Business Practice Location Address
First Line	:	7501 N UNIVERSITY ST STE 220
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-1258
Country	:	US
Telephone Number	:	309-692-3554
Fax Number	:	309-692-6055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/08/2007

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