Peter Walter Fry is a Dentist in Chicago, Illinois. Peter Walter Fry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Walter Fry is 1154486330. The last update date is 2007-07-08.
Peter Walter Fry's current location address is 4801 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7735451414. The mailing address for Peter Walter Fry is 4801 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Walter Fry |
|---|---|
| Address | 4801 W Peterson Ave, Chicago, Illinois |
| Phone Number | 7735451414 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154486330 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4801 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606465713 |
| Phone Number | 7735451414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 09-015486 |
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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 identification code assigned to Peter Walter Fry by the Centers for Medicare & Medicaid Services?
The Peter Walter Fry has been issued the NPI (National Provider Identifier) 1154486330. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peter Walter Fry is physically located?
The Peter Walter Fry is physically situated at the following address: 4801 W Peterson Ave, Chicago, IL, 606465713.
What is Peter Walter Fry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Walter Fry is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Peter Walter Fry receive its 1154486330 assignment from the Centers for Medicare & Medicaid Services?
The Peter Walter Fry was assigned its 1154486330 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details pertaining to Peter Walter Fry last refreshed?
The information related to the Peter Walter Fry, including its address, specialty, and other relevant details, was last updated on 2007-07-08.