Chicago Family Dental Center Pc in Chicago - General Practice
Chicago Family Dental Center Pc - NPI 1104047091
Chicago Family Dental Center Pc is a General Practice in Chicago, Illinois. Chicago Family Dental Center Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Chicago Family Dental Center Pc is 1104047091. The last update date is 2020-08-22.
Chicago Family Dental Center Pc's current location address is 55 E Washington St Ste 2141, Chicago, Illinois. You can contact this provider via phone number 3125510500 and fax number 3123720165. The mailing address for Chicago Family Dental Center Pc is 55 E Washington St Ste 2141, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chicago Family Dental Center Pc |
|---|---|
| Address | 55 E Washington St Ste 2141, Chicago, Illinois |
| Phone Number | 3125510500 |
| Fax Number | 3123720165 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wegmann George Gary |
| Telephone Number | 3125510500 |
NPI Number Detail
| NPI Number | 1104047091 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 55 E Washington St Ste 2141 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606022294 |
| Phone Number | 3125510500 |
| Fax Number | 3123720165 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Chicago Family Dental Center Pc?
The Chicago Family Dental Center Pc has been issued the NPI (National Provider Identifier) 1104047091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Chicago Family Dental Center Pc is physically located?
The Chicago Family Dental Center Pc is situated at the following address: 55 E Washington St Ste 2141, Chicago, IL 606022294.
What is the area of specialization for Chicago Family Dental Center Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chicago Family Dental Center Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104047091 to Chicago Family Dental Center Pc?
The Chicago Family Dental Center Pc received its 1104047091 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details pertaining to Chicago Family Dental Center Pc last refreshed?
The information related to the Chicago Family Dental Center Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.