Charise Marie Petrelli in Glen Ellyn - Dentist
Charise Marie Petrelli - NPI 1891867073
Charise Marie Petrelli is a Dentist in Glen Ellyn, Illinois. Charise Marie Petrelli practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charise Marie Petrelli is 1891867073. The last update date is 2007-07-08.
Charise Marie Petrelli's current location address is 577 Pennsylvania Ave, Glen Ellyn, Illinois. You can contact this provider via phone number 6309420727 and fax number 6309420136. The mailing address for Charise Marie Petrelli is 577 Pennsylvania Ave, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charise Marie Petrelli |
|---|---|
| Address | 577 Pennsylvania Ave, Glen Ellyn, Illinois |
| Phone Number | 6309420727 |
| Fax Number | 6309420136 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891867073 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 577 Pennsylvania Ave |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601378302 |
| Phone Number | 6309420727 |
| Fax Number | 6309420136 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charise Marie Petrelli by the Centers for Medicare & Medicaid Services?
The Charise Marie Petrelli has been issued the NPI (National Provider Identifier) 1891867073, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Charise Marie Petrelli is physically located?
The Charise Marie Petrelli is situated at the following address: 577 Pennsylvania Ave, Glen Ellyn, IL 601378302.
What is Charise Marie Petrelli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charise Marie Petrelli's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Charise Marie Petrelli receive its 1891867073 assignment from the Centers for Medicare & Medicaid Services?
The Charise Marie Petrelli was assigned its 1891867073 on 2006-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charise Marie Petrelli most recently updated?
The details pertaining to the Charise Marie Petrelli, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.