Judith Ann Dean is a Dentist in La Grange, Illinois. Judith Ann Dean practices all healthcare services and medical treatments related to Dentist. The NPI Number for Judith Ann Dean is 1104016476. The last update date is 2007-08-01.
Judith Ann Dean's current location address is 27 Calendar Ave, La Grange, Illinois. You can contact this provider via phone number 7085792414 and fax number 7085792418. The mailing address for Judith Ann Dean is 27 Calendar Ave, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Ann Dean |
|---|---|
| Address | 27 Calendar Ave, La Grange, Illinois |
| Phone Number | 7085792414 |
| Fax Number | 7085792418 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104016476 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 27 Calendar Ave |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605253141 |
| Phone Number | 7085792414 |
| Fax Number | 7085792418 |
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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Post Comment/ Review Below
What is the unique identifier code issued to Judith Ann Dean by the Centers for Medicare & Medicaid Services (CMS)?
The Judith Ann Dean has been assigned the NPI (National Provider Identifier) 1104016476. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Judith Ann Dean's facilities are geographically located?
The facilities of Judith Ann Dean are physically situated at the following location: 27 Calendar Ave, La Grange, IL, 605253141.
What is the Judith Ann Dean's area of specialization and corresponding taxonomy classification?
The Judith Ann Dean'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 Judith Ann Dean receive its 1104016476 assignment from the Centers for Medicare & Medicaid Services?
The Judith Ann Dean was assigned its 1104016476 by the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date were the details related to Judith Ann Dean most recently updated or revised?
The information pertaining to Judith Ann Dean, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-01.