Eugene Walter Prystalski in South Holland - Dentist
Eugene Walter Prystalski - NPI 1699879171
Eugene Walter Prystalski is a Dentist in South Holland, Illinois. Eugene Walter Prystalski practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eugene Walter Prystalski is 1699879171. The last update date is 2007-07-08.
Eugene Walter Prystalski's current location address is 16240 Louis, South Holland, Illinois. You can contact this provider via phone number 7083332909 and fax number 7083332924. The mailing address for Eugene Walter Prystalski is 16240 Louis, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Walter Prystalski |
|---|---|
| Address | 16240 Louis, South Holland, Illinois |
| Phone Number | 7083332909 |
| Fax Number | 7083332924 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1699879171 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16240 Louis |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 60473 |
| Phone Number | 7083332909 |
| Fax Number | 7083332924 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19A11367 |
|
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 10-digit identifier code assigned to Eugene Walter Prystalski by the Centers for Medicare & Medicaid Services?
The Eugene Walter Prystalski has been issued the NPI (National Provider Identifier) 1699879171 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Eugene Walter Prystalski located?
The Eugene Walter Prystalski is located at 16240 Louis, South Holland, IL 60473.
What is the Eugene Walter Prystalski's area of specialization and corresponding taxonomy classification?
The Eugene Walter Prystalski's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Eugene Walter Prystalski receive the assignment of its 1699879171 from the Centers for Medicare & Medicaid Services?
The Eugene Walter Prystalski was issued its 1699879171 by the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date were the details pertaining to Eugene Walter Prystalski last refreshed?
The information related to the Eugene Walter Prystalski, including its address, specialty, and other relevant details, was last updated on 2007-07-08.