Russell J Bak is a Dentist in Bolingbrook, Illinois. Russell J Bak practices all healthcare services and medical treatments related to Dentist. The NPI Number for Russell J Bak is 1659441301. The last update date is 2019-04-24.
Russell J Bak's current location address is 433 N Bolingbrook Drive, Bolingbrook, Illinois. You can contact this provider via phone number 6307594191 and fax number 6307594378. The mailing address for Russell J Bak is 433 N Bolingbrook Drive, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell J Bak |
|---|---|
| Address | 433 N Bolingbrook Drive, Bolingbrook, Illinois |
| Phone Number | 6307594191 |
| Fax Number | 6307594378 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659441301 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2019-04-24 |
Provider Mailing Address Detail
| Address | 433 N Bolingbrook Drive |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 60440 |
| Phone Number | 6307594191 |
| Fax Number | 6307594378 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19-024912 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Russell J Bak by the Centers for Medicare & Medicaid Services?
The Russell J Bak has been assigned the NPI (National Provider Identifier) 1659441301 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Russell J Bak's facilities are geographically located?
The facilities of Russell J Bak are physically situated at the following location: 433 N Bolingbrook Drive, Bolingbrook, IL, 60440.
What is the Russell J Bak's area of specialization and corresponding taxonomy classification?
The Russell J Bak's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Russell J Bak receive its 1659441301?
The Russell J Bak was issued its 1659441301 on 2006-11-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Russell J Bak last refreshed?
The information related to the Russell J Bak, including its address, specialty, and other relevant details, was last updated on 2019-04-24.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC