Kesanet T Gebrekidan in Evanston - Dentist
Kesanet T Gebrekidan - NPI 1104838002
Kesanet T Gebrekidan is a Dentist in Evanston, Illinois. Kesanet T Gebrekidan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kesanet T Gebrekidan is 1104838002. The last update date is 2007-07-08.
Kesanet T Gebrekidan's current location address is 2303 Central St Apt 1w, Evanston, Illinois. You can contact this provider via phone number 8478644914. The mailing address for Kesanet T Gebrekidan is 2303 Central St Apt 1w, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kesanet T Gebrekidan |
|---|---|
| Address | 2303 Central St Apt 1w, Evanston, Illinois |
| Phone Number | 8478644914 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104838002 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2303 Central St Apt 1w |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602015728 |
| Phone Number | 8478644914 |
| Fax Number |
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 Kesanet T Gebrekidan's unique identification number?
The Kesanet T Gebrekidan has been assigned the NPI (National Provider Identifier) Number 1104838002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kesanet T Gebrekidan is located?
The Kesanet T Gebrekidan is situated at the following address: 2303 Central St Apt 1W, Evanston, IL, 602015728.
What is Kesanet T Gebrekidan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kesanet T Gebrekidan's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104838002 to Kesanet T Gebrekidan?
The Kesanet T Gebrekidan received its 1104838002 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information regarding Kesanet T Gebrekidan most recently updated?
The details pertaining to the Kesanet T Gebrekidan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD