Edward Peter Laco is a Dentist in Loves Park, Illinois. Edward Peter Laco practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Peter Laco is 1629082516. The last update date is 2011-09-26.
Edward Peter Laco's current location address is 309 E Riverside Blvd, Loves Park, Illinois. You can contact this provider via phone number 8156331815 and fax number 8156331627. The mailing address for Edward Peter Laco is 309 E Riverside Blvd, Loves Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Peter Laco |
|---|---|
| Address | 309 E Riverside Blvd, Loves Park, Illinois |
| Phone Number | 8156331815 |
| Fax Number | 8156331627 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629082516 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 309 E Riverside Blvd |
|---|---|
| City | Loves Park |
| State | Illinois (IL) |
| Post Code | 611114520 |
| Phone Number | 8156331815 |
| Fax Number | 8156331627 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-025905 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Edward Peter Laco by the Centers for Medicare & Medicaid Services (CMS)?
The Edward Peter Laco has been assigned the NPI (National Provider Identifier) 1629082516. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Edward Peter Laco?
The Edward Peter Laco is situated at 309 E Riverside Blvd, in the city of Loves Park, state of IL, with the zip code 611114520.
What is Edward Peter Laco's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Peter Laco is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Edward Peter Laco receive its 1629082516 assignment from the Centers for Medicare & Medicaid Services?
The Edward Peter Laco was assigned its 1629082516 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Edward Peter Laco last refreshed?
The information related to the Edward Peter Laco, including its address, specialty, and other relevant details, was last updated on 2011-09-26.