William G Mitsos in Kankakee - Dentist

William G Mitsos - NPI 1194912709

William G Mitsos is a Dentist in Kankakee, Illinois. William G Mitsos practices all healthcare services and medical treatments related to Dentist. The NPI Number for William G Mitsos is 1194912709. The last update date is 2007-09-27.

William G Mitsos's current location address is 1291 S Seventh Ave, Kankakee, Illinois. You can contact this provider via phone number 8159320022 and fax number 8159321202. The mailing address for William G Mitsos is 1291 S Seventh Ave, Kankakee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name William G Mitsos
Address 1291 S Seventh Ave, Kankakee, Illinois
Phone Number 8159320022
Fax Number 8159321202
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1194912709
Provider Enumeration Date 2007-09-27
Last Updated Date 2007-09-27

Provider Mailing Address Detail

Address 1291 S Seventh Ave
City Kankakee
State Illinois (IL)
Post Code 60901
Phone Number 8159320022
Fax Number 8159321202

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 William G Mitsos

What is the unique identification code assigned to William G Mitsos by the Centers for Medicare & Medicaid Services?

The William G Mitsos has been issued the NPI (National Provider Identifier) 1194912709. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where William G Mitsos is physically located?

The William G Mitsos is physically situated at the following address: 1291 S Seventh Ave, Kankakee, IL, 60901.

What is the William G Mitsos's area of specialization and corresponding taxonomy classification?

The William G Mitsos's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the William G Mitsos receive the assignment of its 1194912709 from the Centers for Medicare & Medicaid Services?

The William G Mitsos was issued its 1194912709 by the Centers for Medicare & Medicaid Services on 2007-09-27.

As of what date was the information pertaining to William G Mitsos, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to William G Mitsos, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-27.

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