Midwest Dental Group in Chicago - Dentist

Midwest Dental Group - NPI 1710145065

Midwest Dental Group is a Dentist in Chicago, Illinois. Midwest Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Midwest Dental Group is 1710145065. The last update date is 2008-05-22.

Midwest Dental Group's current location address is 2720 W 15th St, Chicago, Illinois. You can contact this provider via phone number 7732576485. The mailing address for Midwest Dental Group is 2720 W 15th St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midwest Dental Group
Address 2720 W 15th St, Chicago, Illinois
Phone Number 7732576485
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Horberg David
Credentials D.D.S.
Telephone Number 7732576485

NPI Number Detail

NPI Number 1710145065
Provider Enumeration Date 2008-05-22
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 2720 W 15th St
City Chicago
State Illinois (IL)
Post Code 606081610
Phone Number 7732576485
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19013845
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 Midwest Dental Group

What is the Midwest Dental Group's 1710145065?

The Midwest Dental Group's NPI (National Provider Identifier) Number is 1710145065. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Midwest Dental Group is physically located?

The Midwest Dental Group is physically situated at the following address: 2720 W 15Th St, Chicago, IL, 606081610.

What is Midwest Dental Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Midwest Dental Group's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Midwest Dental Group's 1710145065 issued?

The Midwest Dental Group's 1710145065 was issued on 2008-05-22.

As of what date was the information regarding Midwest Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Midwest Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-22.

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