Dr. R Todd Krueger
Dentist - General Practice
527 Pulaski St
Lincoln
, Illinois 62656-2773
Dr. R Todd Krueger
Dentist - General Practice
527 Pulaski St
Lincoln
, Illinois 62656-2773
(309) 263-2308
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. R Todd Krueger
- 213 S Clifton Ave
- Morton, IL
- Zip : 61550-2033
- Fax : (309) 263-2308
- Phone : (309) 263-0850
Second Address
- Dr. R Todd Krueger
- 527 Pulaski St
- Lincoln, IL
- Zip : 62656-2773
- Fax : (309) 263-2308
- Phone : (309) 263-0850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 019-024078 | IL |
| Y | 213EG0000X | General Practice | 019-024078 | IL |
National Provider Identifier
| NPI | 1003211442 |
|---|---|
| Provider Name | Dr. R Todd Krueger |
| First Address | Morton, IL 61550-2033 |
| Second Address | Lincoln, IL 62656-2773 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2014 |
| Last Update Date | 28/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.