Mitchell Dwight Omori in Deerfield - Dentist
Mitchell Dwight Omori - NPI 1164574208
Mitchell Dwight Omori is a Dentist in Deerfield, Illinois. Mitchell Dwight Omori practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mitchell Dwight Omori is 1164574208. The last update date is 2007-07-08.
Mitchell Dwight Omori's current location address is 400 Lake Cook Rd, Deerfield, Illinois. You can contact this provider via phone number 8479458565 and fax number 8479458278. The mailing address for Mitchell Dwight Omori is 400 Lake Cook Rd, Deerfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Dwight Omori |
|---|---|
| Address | 400 Lake Cook Rd, Deerfield, Illinois |
| Phone Number | 8479458565 |
| Fax Number | 8479458278 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164574208 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Lake Cook Rd |
|---|---|
| City | Deerfield |
| State | Illinois (IL) |
| Post Code | 60015 |
| Phone Number | 8479458565 |
| Fax Number | 8479458278 |
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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What is the unique 10-digit identification code assigned to Mitchell Dwight Omori by the Centers for Medicare & Medicaid Services?
The Mitchell Dwight Omori has been issued the NPI (National Provider Identifier) 1164574208, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mitchell Dwight Omori located?
The Mitchell Dwight Omori is located at 400 Lake Cook Rd, Deerfield, IL 60015.
What is Mitchell Dwight Omori's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mitchell Dwight Omori is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1164574208 assigned to Mitchell Dwight Omori?
The Mitchell Dwight Omori was issued its 1164574208 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mitchell Dwight Omori's information last updated?
The Mitchell Dwight Omori's information was last updated on 2007-07-08.