Dental Profile is a General Practice in Chicago, Illinois. Dental Profile practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Profile is 1558532861. The last update date is 2008-03-13.
Dental Profile's current location address is 2556 W North Ave, Chicago, Illinois. You can contact this provider via phone number 7737820014 and fax number 7737828298. The mailing address for Dental Profile is 2556 W North Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Profile |
|---|---|
| Address | 2556 W North Ave, Chicago, Illinois |
| Phone Number | 7737820014 |
| Fax Number | 7737828298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Roncevic Milan |
| Telephone Number | 6305160000 |
NPI Number Detail
| NPI Number | 1558532861 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 2556 W North Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606475216 |
| Phone Number | 7737820014 |
| Fax Number | 7737828298 |
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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Post Comment/ Review Below
What is the unique identifier code issued to Dental Profile by the Centers for Medicare & Medicaid Services (CMS)?
The Dental Profile has been assigned the NPI (National Provider Identifier) 1558532861. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Dental Profile is located?
The Dental Profile is situated at the following address: 2556 W North Ave, Chicago, IL, 606475216.
What is Dental Profile's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dental Profile is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558532861 to Dental Profile?
The Centers for Medicare & Medicaid Services assigned the 1558532861 to Dental Profile on 2008-03-13.
When was the information related to Dental Profile most recently updated or refreshed?
The details pertaining to the Dental Profile, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-13.