Ccb Dental Associates Pc in Joliet - Dentist
Ccb Dental Associates Pc - NPI 1376605428
Ccb Dental Associates Pc is a Dentist in Joliet, Illinois. Ccb Dental Associates Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ccb Dental Associates Pc is 1376605428. The last update date is 2020-08-22.
Ccb Dental Associates Pc's current location address is 1118 N Larkin Avenue, Joliet, Illinois. You can contact this provider via phone number 8157290661 and fax number 8157291617. The mailing address for Ccb Dental Associates Pc is 1118 N Larkin Avenue, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccb Dental Associates Pc |
|---|---|
| Address | 1118 N Larkin Avenue, Joliet, Illinois |
| Phone Number | 8157290661 |
| Fax Number | 8157291617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Christian Ann Ginger |
| Credentials | DDS |
| Telephone Number | 8157290661 |
NPI Number Detail
| NPI Number | 1376605428 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1118 N Larkin Avenue |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 60435 |
| Phone Number | 8157290661 |
| Fax Number | 8157291617 |
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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What is the unique 10-digit identification code issued to Ccb Dental Associates Pc by the Centers for Medicare & Medicaid Services?
The Ccb Dental Associates Pc has been assigned the NPI (National Provider Identifier) 1376605428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ccb Dental Associates Pc is geographically located?
The Ccb Dental Associates Pc is physically situated at the following location: 1118 N Larkin Avenue, Joliet, IL, 60435.
What is the area of specialization for Ccb Dental Associates Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ccb Dental Associates Pc is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376605428 to Ccb Dental Associates Pc?
The Centers for Medicare & Medicaid Services assigned the 1376605428 to Ccb Dental Associates Pc on 2006-12-15.
As of what date were the details related to Ccb Dental Associates Pc most recently updated or revised?
The information pertaining to Ccb Dental Associates Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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