Madison Pine Dental in Chicago - General Practice
Madison Pine Dental - NPI 1942322664
Madison Pine Dental is a General Practice in Chicago, Illinois. Madison Pine Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Madison Pine Dental is 1942322664. The last update date is 2020-08-22.
Madison Pine Dental's current location address is 5470 W Madison St, Chicago, Illinois. You can contact this provider via phone number 7732873939 and fax number 7732872573. The mailing address for Madison Pine Dental is 5470 W Madison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Pine Dental |
|---|---|
| Address | 5470 W Madison St, Chicago, Illinois |
| Phone Number | 7732873939 |
| Fax Number | 7732872573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Poulos James |
| Telephone Number | 7732873939 |
NPI Number Detail
| NPI Number | 1942322664 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5470 W Madison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606444031 |
| Phone Number | 7732873939 |
| Fax Number | 7732872573 |
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 10-digit identification code assigned to Madison Pine Dental by the Centers for Medicare & Medicaid Services?
The Madison Pine Dental has been issued the NPI (National Provider Identifier) 1942322664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Madison Pine Dental located?
The Madison Pine Dental is located at 5470 W Madison St, Chicago, IL 606444031.
What is the Madison Pine Dental's area of specialization and corresponding taxonomy classification?
The Madison Pine Dental's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1942322664 to Madison Pine Dental?
The Madison Pine Dental received its 1942322664 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information regarding Madison Pine Dental, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Madison Pine Dental, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.