Fullerton Family Dentistry, Ltd in Chicago - Dentist
Fullerton Family Dentistry, Ltd - NPI 1649480138
Fullerton Family Dentistry, Ltd is a Dentist in Chicago, Illinois. Fullerton Family Dentistry, Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fullerton Family Dentistry, Ltd is 1649480138. The last update date is 2020-08-22.
Fullerton Family Dentistry, Ltd's current location address is 4725 W Fullerton Ave, Chicago, Illinois. You can contact this provider via phone number 7732525757. The mailing address for Fullerton Family Dentistry, Ltd is 4725 W Fullerton Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Fullerton Family Dentistry, Ltd |
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Address | 4725 W Fullerton Ave, Chicago, Illinois |
Phone Number | 7732525757 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SECTRETARY |
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Authorized Official Name | Fornal J Joseph |
Credentials | DDS |
Telephone Number | 7732525757 |
NPI Number Detail
NPI Number | 1649480138 |
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Provider Enumeration Date | 2007-05-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4725 W Fullerton Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606391817 |
Phone Number | 7732525757 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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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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What is the unique identifier code issued to Fullerton Family Dentistry, Ltd by the Centers for Medicare & Medicaid Services?
The Fullerton Family Dentistry, Ltd has been assigned the NPI (National Provider Identifier) 1649480138. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fullerton Family Dentistry, Ltd is physically located?
The Fullerton Family Dentistry, Ltd is situated at the following address: 4725 W Fullerton Ave, Chicago, IL 606391817.
What is Fullerton Family Dentistry, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fullerton Family Dentistry, Ltd is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did Fullerton Family Dentistry, Ltd receive its 1649480138 assignment?
The Fullerton Family Dentistry, Ltd was assigned its 1649480138 on 2007-05-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Fullerton Family Dentistry, Ltd last refreshed?
The information related to the Fullerton Family Dentistry, Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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