Innovative Endodontics, P.C. in Chicago - Endodontics

Innovative Endodontics, P.C. - NPI 1508035619

Innovative Endodontics, P.C. is a Endodontics in Chicago, Illinois. Innovative Endodontics, P.C. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Innovative Endodontics, P.C. is 1508035619. The last update date is 2008-02-22.

Innovative Endodontics, P.C.'s current location address is 4346 N Pulaski Rd # Ab, Chicago, Illinois. You can contact this provider via phone number 7735441025 and fax number 7736499282. The mailing address for Innovative Endodontics, P.C. is 4346 N Pulaski Rd # Ab, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Innovative Endodontics, P.C.
Address 4346 N Pulaski Rd # Ab, Chicago, Illinois
Phone Number 7735441025
Fax Number 7736499282
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Prescott S Rebecca
Credentials DDS, MS
Telephone Number 7735441025

NPI Number Detail

NPI Number 1508035619
Provider Enumeration Date 2008-02-22
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 4346 N Pulaski Rd # Ab
City Chicago
State Illinois (IL)
Post Code 606412156
Phone Number 7735441025
Fax Number 7736499282

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Innovative Endodontics, P.C.

What is the unique identifier code issued to Innovative Endodontics, P.C. by the Centers for Medicare & Medicaid Services?

The Innovative Endodontics, P.C. has been assigned the NPI (National Provider Identifier) 1508035619. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Innovative Endodontics, P.C.'s facilities are geographically located?

The facilities of Innovative Endodontics, P.C. are physically situated at the following location: 4346 N Pulaski Rd # Ab, Chicago, IL, 606412156.

What is the Innovative Endodontics, P.C.'s specialty and taxonomy code?

The Innovative Endodontics, P.C.'s specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.

On what date did the Innovative Endodontics, P.C. receive its 1508035619 assignment from the Centers for Medicare & Medicaid Services?

The Innovative Endodontics, P.C. was assigned its 1508035619 by the Centers for Medicare & Medicaid Services on 2008-02-22.

As of what date was the information pertaining to Innovative Endodontics, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Innovative Endodontics, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-22.

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