Suzy Azalea Dmd Ldt in Bolingbrook - Dentist
Suzy Azalea Dmd Ldt - NPI 1184780876
Suzy Azalea Dmd Ldt is a Dentist in Bolingbrook, Illinois. Suzy Azalea Dmd Ldt practices all healthcare services and medical treatments related to Dentist. The NPI Number for Suzy Azalea Dmd Ldt is 1184780876. The last update date is 2020-08-22.
Suzy Azalea Dmd Ldt's current location address is 761 E Boughton Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6307399430. The mailing address for Suzy Azalea Dmd Ldt is 761 E Boughton Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Suzy Azalea Dmd Ldt |
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Address | 761 E Boughton Rd, Bolingbrook, Illinois |
Phone Number | 6307399430 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST |
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Authorized Official Name | Azalea Suzy |
Credentials | DMD |
Telephone Number | 6307399430 |
NPI Number Detail
NPI Number | 1184780876 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 761 E Boughton Rd |
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City | Bolingbrook |
State | Illinois (IL) |
Post Code | 60440 |
Phone Number | 6307399430 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
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 identifier code issued to Suzy Azalea Dmd Ldt by the Centers for Medicare & Medicaid Services (CMS)?
The Suzy Azalea Dmd Ldt has been assigned the NPI (National Provider Identifier) 1184780876. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Suzy Azalea Dmd Ldt's physical address?
The Suzy Azalea Dmd Ldt is physically located at 761 E Boughton Rd, in the city of Bolingbrook, IL, with the postal code 60440.
What is Suzy Azalea Dmd Ldt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Suzy Azalea Dmd Ldt is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184780876 to Suzy Azalea Dmd Ldt?
The Centers for Medicare & Medicaid Services assigned the 1184780876 to Suzy Azalea Dmd Ldt on 2006-12-28.
When was the information regarding Suzy Azalea Dmd Ldt most recently updated?
The details pertaining to the Suzy Azalea Dmd Ldt, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.