Kevin Vankanegan in Downers Grove - Dentist
Kevin Vankanegan - NPI 1124249008
Kevin Vankanegan is a Dentist in Downers Grove, Illinois. Kevin Vankanegan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin Vankanegan is 1124249008. The last update date is 2013-08-29.
Kevin Vankanegan's current location address is 3450 Lacey Rd, Downers Grove, Illinois. You can contact this provider via phone number 6305157474 and fax number 6305157290. The mailing address for Kevin Vankanegan is 3450 Lacey Rd, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Vankanegan |
|---|---|
| Address | 3450 Lacey Rd, Downers Grove, Illinois |
| Phone Number | 6305157474 |
| Fax Number | 6305157290 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124249008 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2013-08-29 |
Provider Mailing Address Detail
| Address | 3450 Lacey Rd |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605155430 |
| Phone Number | 6305157474 |
| Fax Number | 6305157290 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-023394 |
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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 identifier code issued to Kevin Vankanegan by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Vankanegan has been assigned the NPI (National Provider Identifier) 1124249008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kevin Vankanegan is geographically located?
The Kevin Vankanegan is physically situated at the following location: 3450 Lacey Rd, Downers Grove, IL, 605155430.
What is Kevin Vankanegan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Vankanegan is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124249008 to Kevin Vankanegan?
The Kevin Vankanegan received its 1124249008 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information pertaining to Kevin Vankanegan most recently updated or revised?
The details related to Kevin Vankanegan, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-29.