Melrose Dental Center Service P.C in Melrose Park - Dentist
Melrose Dental Center Service P.C - NPI 1215003678
Melrose Dental Center Service P.C is a Dentist in Melrose Park, Illinois. Melrose Dental Center Service P.C practices all healthcare services and medical treatments related to Dentist. The NPI Number for Melrose Dental Center Service P.C is 1215003678. The last update date is 2008-06-26.
Melrose Dental Center Service P.C's current location address is 1908 W Lake St, Melrose Park, Illinois. You can contact this provider via phone number 7083456636 and fax number 7083456671. The mailing address for Melrose Dental Center Service P.C is 1908 W Lake St, Melrose Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Melrose Dental Center Service P.C |
|---|---|
| Address | 1908 W Lake St, Melrose Park, Illinois |
| Phone Number | 7083456636 |
| Fax Number | 7083456671 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Alberttis J Carlos |
| Credentials | D.D.S |
| Telephone Number | 7083456636 |
NPI Number Detail
| NPI Number | 1215003678 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 1908 W Lake St |
|---|---|
| City | Melrose Park |
| State | Illinois (IL) |
| Post Code | 601603728 |
| Phone Number | 7083456636 |
| Fax Number | 7083456671 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19021046 |
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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 identification code assigned to Melrose Dental Center Service P.C by the Centers for Medicare & Medicaid Services?
The Melrose Dental Center Service P.C has been issued the NPI (National Provider Identifier) 1215003678. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Melrose Dental Center Service P.C's facilities are situated?
The facilities of Melrose Dental Center Service P.C are physically located at the following address: 1908 W Lake St, Melrose Park, IL, 601603728.
What is the Melrose Dental Center Service P.C's specialty and taxonomy code?
The Melrose Dental Center Service P.C's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215003678 to Melrose Dental Center Service P.C?
The Melrose Dental Center Service P.C received its 1215003678 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details pertaining to Melrose Dental Center Service P.C last refreshed?
The information related to the Melrose Dental Center Service P.C, including its address, specialty, and other relevant details, was last updated on 2008-06-26.