Diversey Dental Center in Chicago - Dentist
Diversey Dental Center - NPI 1790824654
Diversey Dental Center is a Dentist in Chicago, Illinois. Diversey Dental Center practices all healthcare services and medical treatments related to Dentist. The NPI Number for Diversey Dental Center is 1790824654. The last update date is 2020-08-22.
Diversey Dental Center's current location address is 5300 W Diversey Ave, Chicago, Illinois. You can contact this provider via phone number 7732021500 and fax number 7732021697. The mailing address for Diversey Dental Center is 5300 W Diversey Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversey Dental Center |
|---|---|
| Address | 5300 W Diversey Ave, Chicago, Illinois |
| Phone Number | 7732021500 |
| Fax Number | 7732021697 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Hernandez Veronica |
| Telephone Number | 7732021500 |
NPI Number Detail
| NPI Number | 1790824654 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5300 W Diversey Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60639 |
| Phone Number | 7732021500 |
| Fax Number | 7732021697 |
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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What is the unique 10-digit identifier code issued to Diversey Dental Center by the Centers for Medicare & Medicaid Services?
The Diversey Dental Center has been assigned the NPI (National Provider Identifier) 1790824654 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Diversey Dental Center?
The Diversey Dental Center is situated at 5300 W Diversey Ave, in the city of Chicago, state of IL, with the zip code 60639.
What is the Diversey Dental Center's area of specialization and corresponding taxonomy classification?
The Diversey Dental Center's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790824654 to Diversey Dental Center?
The Centers for Medicare & Medicaid Services originally issued the 1790824654 to Diversey Dental Center on 2007-02-06.
When was the information pertaining to Diversey Dental Center most recently updated or revised?
The details related to Diversey Dental Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.