Tina A Shroff is a Dentist in Dolton, Illinois. Tina A Shroff practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tina A Shroff is 1023170404. The last update date is 2012-12-27.
Tina A Shroff's current location address is 1021 E Sibley Blvd, Dolton, Illinois. You can contact this provider via phone number 7088499520 and fax number 9088499584. The mailing address for Tina A Shroff is 1021 E Sibley Blvd, Dolton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina A Shroff |
|---|---|
| Address | 1021 E Sibley Blvd, Dolton, Illinois |
| Phone Number | 7088499520 |
| Fax Number | 9088499584 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023170404 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2012-12-27 |
Provider Mailing Address Detail
| Address | 1021 E Sibley Blvd |
|---|---|
| City | Dolton |
| State | Illinois (IL) |
| Post Code | 604192836 |
| Phone Number | 7088499520 |
| Fax Number | 9088499584 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19024341 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1004721 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tina A Shroff by the Centers for Medicare & Medicaid Services?
The Tina A Shroff has been issued the NPI (National Provider Identifier) 1023170404 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tina A Shroff's facilities are situated?
The facilities of Tina A Shroff are physically located at the following address: 1021 E Sibley Blvd, Dolton, IL, 604192836.
What is Tina A Shroff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tina A Shroff is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Tina A Shroff receive its 1023170404 assignment from the Centers for Medicare & Medicaid Services?
The Tina A Shroff was assigned its 1023170404 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the Tina A Shroff's information last updated?
The Tina A Shroff's information was last updated on 2012-12-27.
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