David R. Mortensen is a Dentist in Gurnee, Illinois. David R. Mortensen practices all healthcare services and medical treatments related to Dentist. The NPI Number for David R. Mortensen is 1629281134. The last update date is 2007-07-08.
David R. Mortensen's current location address is 2013 Greystem Cir, Gurnee, Illinois. You can contact this provider via phone number 8472444455. The mailing address for David R. Mortensen is 2013 Greystem Cir, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | David R. Mortensen |
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Address | 2013 Greystem Cir, Gurnee, Illinois |
Phone Number | 8472444455 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1629281134 |
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Provider Enumeration Date | 2007-05-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2013 Greystem Cir |
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City | Gurnee |
State | Illinois (IL) |
Post Code | 600319336 |
Phone Number | 8472444455 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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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 |
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What is the unique 10-digit identifier code assigned to David R. Mortensen by the Centers for Medicare & Medicaid Services?
The David R. Mortensen has been issued the NPI (National Provider Identifier) 1629281134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David R. Mortensen?
The David R. Mortensen is physically situated at 2013 Greystem Cir, in the city of Gurnee, state of IL, with the postal code 600319336.
What is David R. Mortensen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David R. Mortensen is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did David R. Mortensen receive its 1629281134 assignment from the Centers for Medicare & Medicaid Services?
The David R. Mortensen was assigned its 1629281134 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David R. Mortensen most recently updated or revised?
The information pertaining to David R. Mortensen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.