John C Edgar in Hawthorn Woods - Dentist

John C Edgar - NPI 1023279866

John C Edgar is a Dentist in Hawthorn Woods, Illinois. John C Edgar practices all healthcare services and medical treatments related to Dentist. The NPI Number for John C Edgar is 1023279866. The last update date is 2015-10-16.

John C Edgar's current location address is 60 Landover Pkwy, Hawthorn Woods, Illinois. You can contact this provider via phone number 8475505000 and fax number 8475505081. The mailing address for John C Edgar is 60 Landover Pkwy, Hawthorn Woods, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John C Edgar
Address 60 Landover Pkwy, Hawthorn Woods, Illinois
Phone Number 8475505000
Fax Number 8475505081
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1023279866
Provider Enumeration Date 2008-06-24
Last Updated Date 2015-10-16

Provider Mailing Address Detail

Address 60 Landover Pkwy
City Hawthorn Woods
State Illinois (IL)
Post Code 600477513
Phone Number 8475505000
Fax Number 8475505081

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19A16412
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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FAQs about John C Edgar

What is the unique identification code assigned to John C Edgar by the Centers for Medicare & Medicaid Services?

The John C Edgar has been issued the NPI (National Provider Identifier) 1023279866. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John C Edgar is physically located?

The John C Edgar is situated at the following address: 60 Landover Pkwy, Hawthorn Woods, IL 600477513.

What is John C Edgar's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John C Edgar is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the John C Edgar receive its 1023279866 assignment from the Centers for Medicare & Medicaid Services?

The John C Edgar was assigned its 1023279866 by the Centers for Medicare & Medicaid Services on 2008-06-24.

When was the information pertaining to John C Edgar most recently updated or revised?

The details related to John C Edgar, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-16.

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