Nicholas Anthony Videka in Homewood - Dentist

Nicholas Anthony Videka - NPI 1548463490

Nicholas Anthony Videka is a Dentist in Homewood, Illinois. Nicholas Anthony Videka practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nicholas Anthony Videka is 1548463490. The last update date is 2007-07-08.

Nicholas Anthony Videka's current location address is 1924 Hickory Rd, Homewood, Illinois. You can contact this provider via phone number 7087980444 and fax number 7087983358. The mailing address for Nicholas Anthony Videka is 1924 Hickory Rd, Homewood, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas Anthony Videka
Address 1924 Hickory Rd, Homewood, Illinois
Phone Number 7087980444
Fax Number 7087983358
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1548463490
Provider Enumeration Date 2007-06-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1924 Hickory Rd
City Homewood
State Illinois (IL)
Post Code 604302239
Phone Number 7087980444
Fax Number 7087983358

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

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FAQs about Nicholas Anthony Videka

What is the unique 10-digit identification code assigned to Nicholas Anthony Videka by the Centers for Medicare & Medicaid Services?

The Nicholas Anthony Videka has been issued the NPI (National Provider Identifier) 1548463490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nicholas Anthony Videka is located?

The Nicholas Anthony Videka is situated at the following address: 1924 Hickory Rd, Homewood, IL, 604302239.

What is Nicholas Anthony Videka'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 Nicholas Anthony Videka is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1548463490 to Nicholas Anthony Videka?

The Centers for Medicare & Medicaid Services assigned the 1548463490 to Nicholas Anthony Videka on 2007-06-07.

As of what date was the information pertaining to Nicholas Anthony Videka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nicholas Anthony Videka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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