Robert Nidea is a Dentist in South Holland, Illinois. Robert Nidea practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Nidea is 1790845725. The last update date is 2016-08-16.
Robert Nidea's current location address is 16280 Prince Dr, South Holland, Illinois. You can contact this provider via phone number 7082251866. The mailing address for Robert Nidea is 16280 Prince Dr, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Nidea |
|---|---|
| Address | 16280 Prince Dr, South Holland, Illinois |
| Phone Number | 7082251866 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790845725 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2016-08-16 |
Provider Mailing Address Detail
| Address | 16280 Prince Dr |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604733233 |
| Phone Number | 7082251866 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-022446 |
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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 Robert Nidea by the Centers for Medicare & Medicaid Services?
The Robert Nidea has been issued the NPI (National Provider Identifier) 1790845725. 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 Robert Nidea?
The Robert Nidea is situated at 16280 Prince Dr, in the city of South Holland, state of IL, with the zip code 604733233.
What is the area of specialization for Robert Nidea, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Nidea is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790845725 to Robert Nidea?
The Robert Nidea received its 1790845725 assignment from the Centers for Medicare & Medicaid Services on 2006-12-11.
As of what date were the details pertaining to Robert Nidea last refreshed?
The information related to the Robert Nidea, including its address, specialty, and other relevant details, was last updated on 2016-08-16.
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