Primesource Healthcare Systems, Inc. in Buffalo Grove - Dentist
Primesource Healthcare Systems, Inc. - NPI 1497704126
Primesource Healthcare Systems, Inc. is a Dentist in Buffalo Grove, Illinois. Primesource Healthcare Systems, Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Primesource Healthcare Systems, Inc. is 1497704126. The last update date is 2014-02-19.
Primesource Healthcare Systems, Inc.'s current location address is 2100 East Lake Cook Road, Buffalo Grove, Illinois. You can contact this provider via phone number 8003170711 and fax number 8778216402. The mailing address for Primesource Healthcare Systems, Inc. is 2100 East Lake Cook Road, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primesource Healthcare Systems, Inc. |
|---|---|
| Address | 2100 East Lake Cook Road, Buffalo Grove, Illinois |
| Phone Number | 8003170711 |
| Fax Number | 8778216402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fleming David |
| Telephone Number | 8003170711 |
NPI Number Detail
| NPI Number | 1497704126 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 2100 East Lake Cook Road |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 600891815 |
| Phone Number | 8003170711 |
| Fax Number | 8778216402 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100052700 | IN | -- | |
| 200109050 | IN | -- | |
| 175113 | IN | ANTHEM | |
| 200378850A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Primesource Healthcare Systems, Inc. by the Centers for Medicare & Medicaid Services?
The Primesource Healthcare Systems, Inc. has been assigned the NPI (National Provider Identifier) 1497704126 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Primesource Healthcare Systems, Inc.'s physical address?
The Primesource Healthcare Systems, Inc. is physically located at 2100 East Lake Cook Road, in the city of Buffalo Grove, IL, with the postal code 600891815.
What is the area of specialization for Primesource Healthcare Systems, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Primesource Healthcare Systems, Inc. is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did the Primesource Healthcare Systems, Inc. receive its 1497704126?
The Primesource Healthcare Systems, Inc. was issued its 1497704126 on 2006-05-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Primesource Healthcare Systems, Inc. most recently updated or refreshed?
The details pertaining to the Primesource Healthcare Systems, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-19.