Dentist At Your Door Llc in Lynwood - Dentist
Dentist At Your Door Llc - NPI 1487810685
Dentist At Your Door Llc is a Dentist in Lynwood, Illinois. Dentist At Your Door Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dentist At Your Door Llc is 1487810685. The last update date is 2008-08-06.
Dentist At Your Door Llc's current location address is 19512 Sequoia Ave, Lynwood, Illinois. You can contact this provider via phone number 7088288637. The mailing address for Dentist At Your Door Llc is 19512 Sequoia Ave, Lynwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dentist At Your Door Llc |
|---|---|
| Address | 19512 Sequoia Ave, Lynwood, Illinois |
| Phone Number | 7088288637 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Bundy-Smith Lolita Shanda |
| Credentials | D.D.S. |
| Telephone Number | 7088288637 |
NPI Number Detail
| NPI Number | 1487810685 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 19512 Sequoia Ave |
|---|---|
| City | Lynwood |
| State | Illinois (IL) |
| Post Code | 604116825 |
| Phone Number | 7088288637 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19023785 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Dentist At Your Door Llc?
The Dentist At Your Door Llc has been issued the NPI (National Provider Identifier) 1487810685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Dentist At Your Door Llc is geographically located?
The Dentist At Your Door Llc is physically situated at the following location: 19512 Sequoia Ave, Lynwood, IL, 604116825.
What is Dentist At Your Door Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dentist At Your Door Llc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Dentist At Your Door Llc receive its 1487810685 assignment from the Centers for Medicare & Medicaid Services?
The Dentist At Your Door Llc was assigned its 1487810685 on 2008-08-06, 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 related to Dentist At Your Door Llc most recently updated or revised?
The information pertaining to Dentist At Your Door Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-06.