O'Hare Dental Group in Chicago - General Practice
O'Hare Dental Group - NPI 1295921500
O'Hare Dental Group is a General Practice in Chicago, Illinois. O'Hare Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for O'Hare Dental Group is 1295921500. The last update date is 2007-09-20.
O'Hare Dental Group's current location address is 11601 West Touhy Avenue, Chicago, Illinois. You can contact this provider via phone number 7736018900 and fax number 7736018988. The mailing address for O'Hare Dental Group is 11601 West Touhy Avenue, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | O'Hare Dental Group |
|---|---|
| Address | 11601 West Touhy Avenue, Chicago, Illinois |
| Phone Number | 7736018900 |
| Fax Number | 7736018988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ranieli C Mary |
| Credentials | D.D.S. |
| Telephone Number | 7736018900 |
NPI Number Detail
| NPI Number | 1295921500 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 11601 West Touhy Avenue |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60666 |
| Phone Number | 7736018900 |
| Fax Number | 7736018988 |
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 O'Hare Dental Group by the Centers for Medicare & Medicaid Services?
The O'Hare Dental Group has been issued the NPI (National Provider Identifier) 1295921500, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of O'Hare Dental Group?
The O'Hare Dental Group is physically situated at 11601 West Touhy Avenue, in the city of Chicago, state of IL, with the postal code 60666.
What is O'Hare Dental Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for O'Hare Dental Group is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295921500 to O'Hare Dental Group?
The Centers for Medicare & Medicaid Services originally issued the 1295921500 to O'Hare Dental Group on 2007-09-20.
As of what date were the O'Hare Dental Group's details last updated?
The information pertaining to the O'Hare Dental Group, including its address, specialty, and other details, was most recently updated on 2007-09-20.