Debra A Gong is a Dentist in Chicago, Illinois. Debra A Gong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Debra A Gong is 1053539981. The last update date is 2007-07-08.
Debra A Gong's current location address is 3200 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 9198241748. The mailing address for Debra A Gong is 3200 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra A Gong |
|---|---|
| Address | 3200 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 9198241748 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053539981 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3200 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606573952 |
| Phone Number | 9198241748 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8222 |
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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 identifier code issued to Debra A Gong by the Centers for Medicare & Medicaid Services?
The Debra A Gong has been assigned the NPI (National Provider Identifier) 1053539981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Debra A Gong?
The Debra A Gong is situated at 3200 N Lake Shore Dr, in the city of Chicago, state of IL, with the zip code 606573952.
What is Debra A Gong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debra A Gong's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Debra A Gong receive its 1053539981 assignment from the Centers for Medicare & Medicaid Services?
The Debra A Gong was assigned its 1053539981 on 2007-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Debra A Gong most recently updated or revised?
The information pertaining to Debra A Gong, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.