Alexander Grabavoy in Shorewood - Dentist
Alexander Grabavoy - NPI 1124246756
Alexander Grabavoy is a Dentist in Shorewood, Illinois. Alexander Grabavoy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Alexander Grabavoy is 1124246756. The last update date is 2007-07-08.
Alexander Grabavoy's current location address is 1007 W. Jefferson Street, Shorewood, Illinois. You can contact this provider via phone number 8157300900 and fax number 8157300955. The mailing address for Alexander Grabavoy is 1007 W. Jefferson Street, Shorewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Grabavoy |
|---|---|
| Address | 1007 W. Jefferson Street, Shorewood, Illinois |
| Phone Number | 8157300900 |
| Fax Number | 8157300955 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124246756 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1007 W. Jefferson Street |
|---|---|
| City | Shorewood |
| State | Illinois (IL) |
| Post Code | 60404 |
| Phone Number | 8157300900 |
| Fax Number | 8157300955 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 10-digit identification code issued to Alexander Grabavoy by the Centers for Medicare & Medicaid Services?
The Alexander Grabavoy has been assigned the NPI (National Provider Identifier) 1124246756 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Alexander Grabavoy's physical address?
The Alexander Grabavoy is physically located at 1007 W. Jefferson Street, in the city of Shorewood, IL, with the postal code 60404.
What is the area of specialization for Alexander Grabavoy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alexander Grabavoy is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124246756 to Alexander Grabavoy?
The Centers for Medicare & Medicaid Services originally issued the 1124246756 to Alexander Grabavoy on 2007-04-20.
As of what date were the Alexander Grabavoy's details last updated?
The information pertaining to the Alexander Grabavoy, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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