Michael Royal Mintz in Chicago - General Practice
Michael Royal Mintz - NPI 1215142344
Michael Royal Mintz is a General Practice in Chicago, Illinois. Michael Royal Mintz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Royal Mintz is 1215142344. The last update date is 2007-07-08.
Michael Royal Mintz's current location address is 990 W Fullerton Ave, Chicago, Illinois. You can contact this provider via phone number 7739351855 and fax number 7739351888. The mailing address for Michael Royal Mintz is 990 W Fullerton Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Royal Mintz |
|---|---|
| Address | 990 W Fullerton Ave, Chicago, Illinois |
| Phone Number | 7739351855 |
| Fax Number | 7739351888 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215142344 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 990 W Fullerton Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606142458 |
| Phone Number | 7739351855 |
| Fax Number | 7739351888 |
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 Michael Royal Mintz's 1215142344?
The Michael Royal Mintz's NPI (National Provider Identifier) Number is 1215142344. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Royal Mintz?
The Michael Royal Mintz is physically situated at 990 W Fullerton Ave, in the city of Chicago, state of IL, with the postal code 606142458.
What is the Michael Royal Mintz's specialty and taxonomy code?
The Michael Royal Mintz's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Michael Royal Mintz receive its 1215142344 assignment?
The Michael Royal Mintz was assigned its 1215142344 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Michael Royal Mintz most recently updated or revised?
The information pertaining to Michael Royal Mintz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.