Family Dental Group, Inc. in Chicago - General Practice
Family Dental Group, Inc. - NPI 1538330758
Family Dental Group, Inc. is a General Practice in Chicago, Illinois. Family Dental Group, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Family Dental Group, Inc. is 1538330758. The last update date is 2008-03-15.
Family Dental Group, Inc.'s current location address is 3855 W North Ave, Chicago, Illinois. You can contact this provider via phone number 7737828900 and fax number 7737820577. The mailing address for Family Dental Group, Inc. is 3855 W North Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Dental Group, Inc. |
|---|---|
| Address | 3855 W North Ave, Chicago, Illinois |
| Phone Number | 7737828900 |
| Fax Number | 7737820577 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ishaya A Edison |
| Credentials | DDS |
| Telephone Number | 7737828900 |
NPI Number Detail
| NPI Number | 1538330758 |
|---|---|
| Provider Enumeration Date | 2008-03-15 |
| Last Updated Date | 2008-03-15 |
Provider Mailing Address Detail
| Address | 3855 W North Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606474640 |
| Phone Number | 7737828900 |
| Fax Number | 7737820577 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103156 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Family Dental Group, Inc. by the Centers for Medicare & Medicaid Services?
The Family Dental Group, Inc. has been issued the NPI (National Provider Identifier) 1538330758 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Family Dental Group, Inc.?
The Family Dental Group, Inc. is situated at 3855 W North Ave, in the city of Chicago, state of IL, with the zip code 606474640.
What is the Family Dental Group, Inc.'s specialty and taxonomy code?
The Family Dental Group, Inc.'s specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When was the Family Dental Group, Inc.'s 1538330758 issued?
The Family Dental Group, Inc.'s 1538330758 was issued on 2008-03-15.
As of what date were the details related to Family Dental Group, Inc. most recently updated or revised?
The information pertaining to Family Dental Group, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-03-15.
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