Paul Justin Stec is a Dentist in Cicero, Illinois. Paul Justin Stec practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul Justin Stec is 1073776571. The last update date is 2008-07-03.
Paul Justin Stec's current location address is 2240 S Cicero Ave, Cicero, Illinois. You can contact this provider via phone number 7086562222 and fax number 7086523990. The mailing address for Paul Justin Stec is 2240 S Cicero Ave, Cicero, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Justin Stec |
|---|---|
| Address | 2240 S Cicero Ave, Cicero, Illinois |
| Phone Number | 7086562222 |
| Fax Number | 7086523990 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073776571 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 2240 S Cicero Ave |
|---|---|
| City | Cicero |
| State | Illinois (IL) |
| Post Code | 60804 |
| Phone Number | 7086562222 |
| Fax Number | 7086523990 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19027722 |
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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 Paul Justin Stec by the Centers for Medicare & Medicaid Services?
The Paul Justin Stec has been issued the NPI (National Provider Identifier) 1073776571. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Justin Stec?
The Paul Justin Stec is situated at 2240 S Cicero Ave, in the city of Cicero, state of IL, with the zip code 60804.
What is Paul Justin Stec's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Justin Stec is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Paul Justin Stec receive its 1073776571 assignment from the Centers for Medicare & Medicaid Services?
The Paul Justin Stec was assigned its 1073776571 on 2008-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Paul Justin Stec most recently updated or revised?
The information pertaining to Paul Justin Stec, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-03.