Brent Edward Agran is a Dentist in Chicago, Illinois. Brent Edward Agran practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brent Edward Agran is 1508024746. The last update date is 2018-05-18.
Brent Edward Agran's current location address is 5820 N Clark St Ste 1s, Chicago, Illinois. You can contact this provider via phone number 7735612237 and fax number 7738785467. The mailing address for Brent Edward Agran is 5820 N Clark St Ste 1s, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Edward Agran |
|---|---|
| Address | 5820 N Clark St Ste 1s, Chicago, Illinois |
| Phone Number | 7735612237 |
| Fax Number | 7738785467 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508024746 |
|---|---|
| Provider Enumeration Date | 2008-05-23 |
| Last Updated Date | 2018-05-18 |
Provider Mailing Address Detail
| Address | 5820 N Clark St Ste 1s |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606603213 |
| Phone Number | 7735612237 |
| Fax Number | 7738785467 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19027610 |
|
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 |
|
Post Comment/ Review Below
What is the Brent Edward Agran's 1508024746?
The Brent Edward Agran's NPI (National Provider Identifier) Number is 1508024746. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brent Edward Agran is physically located?
The Brent Edward Agran is situated at the following address: 5820 N Clark St Ste 1S, Chicago, IL 606603213.
What is Brent Edward Agran's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brent Edward Agran is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Brent Edward Agran receive its 1508024746 assignment from the Centers for Medicare & Medicaid Services?
The Brent Edward Agran was assigned its 1508024746 by the Centers for Medicare & Medicaid Services on 2008-05-23.
As of what date were the Brent Edward Agran's details last updated?
The information pertaining to the Brent Edward Agran, including its address, specialty, and other details, was most recently updated on 2018-05-18.