Paul Michael Blidy in Mundelein - Dentist
Paul Michael Blidy - NPI 1073671160
Paul Michael Blidy is a Dentist in Mundelein, Illinois. Paul Michael Blidy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul Michael Blidy is 1073671160. The last update date is 2007-07-08.
Paul Michael Blidy's current location address is 452 N Seymour Ave, Mundelein, Illinois. You can contact this provider via phone number 8475664060. The mailing address for Paul Michael Blidy is 452 N Seymour Ave, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Michael Blidy |
|---|---|
| Address | 452 N Seymour Ave, Mundelein, Illinois |
| Phone Number | 8475664060 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073671160 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 452 N Seymour Ave |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 60060 |
| Phone Number | 8475664060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19A13558 |
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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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What is the unique identifier code issued to Paul Michael Blidy by the Centers for Medicare & Medicaid Services (CMS)?
The Paul Michael Blidy has been assigned the NPI (National Provider Identifier) 1073671160. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Paul Michael Blidy?
The Paul Michael Blidy is physically situated at 452 N Seymour Ave, in the city of Mundelein, state of IL, with the postal code 60060.
What is Paul Michael Blidy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Michael Blidy's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Paul Michael Blidy receive its 1073671160 assignment from the Centers for Medicare & Medicaid Services?
The Paul Michael Blidy was assigned its 1073671160 on 2006-12-04, 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 Paul Michael Blidy most recently updated or revised?
The information pertaining to Paul Michael Blidy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC