Smile Avenue Dental Pc in Chicago - General Practice
Smile Avenue Dental Pc - NPI 1114190675
Smile Avenue Dental Pc is a General Practice in Chicago, Illinois. Smile Avenue Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Smile Avenue Dental Pc is 1114190675. The last update date is 2008-08-30.
Smile Avenue Dental Pc's current location address is 2620 N Narragansett Ave # B13, Chicago, Illinois. You can contact this provider via phone number 3125205545. The mailing address for Smile Avenue Dental Pc is 2620 N Narragansett Ave # B13, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Smile Avenue Dental Pc |
|---|---|
| Address | 2620 N Narragansett Ave # B13, Chicago, Illinois |
| Phone Number | 3125205545 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kim Kyui Hyun |
| Credentials | DDS |
| Telephone Number | 3125205545 |
NPI Number Detail
| NPI Number | 1114190675 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-08-30 |
Provider Mailing Address Detail
| Address | 2620 N Narragansett Ave # B13 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606391081 |
| Phone Number | 3125205545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19027115 |
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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 provider identifier assigned to Smile Avenue Dental Pc?
The Smile Avenue Dental Pc has been issued the NPI (National Provider Identifier) 1114190675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Smile Avenue Dental Pc's facilities are situated?
The facilities of Smile Avenue Dental Pc are physically located at the following address: 2620 N Narragansett Ave # B13, Chicago, IL, 606391081.
What is the area of specialization for Smile Avenue Dental Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Smile Avenue Dental Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114190675 to Smile Avenue Dental Pc?
The Centers for Medicare & Medicaid Services assigned the 1114190675 to Smile Avenue Dental Pc on 2008-04-04.
When was the Smile Avenue Dental Pc's information last updated?
The Smile Avenue Dental Pc's information was last updated on 2008-08-30.
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