Diversey Family Dental, P.C. in Chicago - Dentist

Diversey Family Dental, P.C. - NPI 1952594020

Diversey Family Dental, P.C. is a Dentist in Chicago, Illinois. Diversey Family Dental, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Diversey Family Dental, P.C. is 1952594020. The last update date is 2007-08-22.

Diversey Family Dental, P.C.'s current location address is 4446 W. Diversey, Chicago, Illinois. You can contact this provider via phone number 7737257900 and fax number 7737257900. The mailing address for Diversey Family Dental, P.C. is 4446 W. Diversey, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Diversey Family Dental, P.C.
Address 4446 W. Diversey, Chicago, Illinois
Phone Number 7737257900
Fax Number 7737257900
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shah A Ankit
Credentials D.D.S
Telephone Number 7737257900

NPI Number Detail

NPI Number 1952594020
Provider Enumeration Date 2007-08-22
Last Updated Date 2007-08-22

Provider Mailing Address Detail

Address 4446 W. Diversey
City Chicago
State Illinois (IL)
Post Code 60639
Phone Number 7737257900
Fax Number 7737257900

Provider's Primary Taxonomy Detail

Speciality Dentist
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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FAQs about Diversey Family Dental, P.C.

What is the unique 10-digit identification code issued to Diversey Family Dental, P.C. by the Centers for Medicare & Medicaid Services?

The Diversey Family Dental, P.C. has been assigned the NPI (National Provider Identifier) 1952594020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Diversey Family Dental, P.C. is physically located?

The Diversey Family Dental, P.C. is situated at the following address: 4446 W. Diversey, Chicago, IL 60639.

What is the Diversey Family Dental, P.C.'s specialty and taxonomy code?

The Diversey Family Dental, P.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did Diversey Family Dental, P.C. receive its 1952594020 assignment from the Centers for Medicare & Medicaid Services?

The Diversey Family Dental, P.C. was assigned its 1952594020 on 2007-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Diversey Family Dental, P.C. most recently updated?

The details pertaining to the Diversey Family Dental, P.C., including its address, specialty, and other relevant information, were last refreshed on 2007-08-22.

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