Gerald D Mackey is a Dentist in Gurnee, Illinois. Gerald D Mackey practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gerald D Mackey is 1265696710. The last update date is 2008-07-14.
Gerald D Mackey's current location address is 4165 Old Grand Ave, Gurnee, Illinois. You can contact this provider via phone number 8476628388. The mailing address for Gerald D Mackey is 4165 Old Grand Ave, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald D Mackey |
|---|---|
| Address | 4165 Old Grand Ave, Gurnee, Illinois |
| Phone Number | 8476628388 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265696710 |
|---|---|
| Provider Enumeration Date | 2008-07-14 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | 4165 Old Grand Ave |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600312774 |
| Phone Number | 8476628388 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1921238 |
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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 Gerald D Mackey's unique identification number?
The Gerald D Mackey has been assigned the NPI (National Provider Identifier) Number 1265696710 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gerald D Mackey's facilities are situated?
The facilities of Gerald D Mackey are physically located at the following address: 4165 Old Grand Ave, Gurnee, IL, 600312774.
What is Gerald D Mackey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gerald D Mackey is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Gerald D Mackey receive the assignment of its 1265696710 from the Centers for Medicare & Medicaid Services?
The Gerald D Mackey was issued its 1265696710 by the Centers for Medicare & Medicaid Services on 2008-07-14.
As of what date were the Gerald D Mackey's details last updated?
The information pertaining to the Gerald D Mackey, including its address, specialty, and other details, was most recently updated on 2008-07-14.
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