That Certain Smile in Chicago - General Practice
That Certain Smile - NPI 1396958864
That Certain Smile is a General Practice in Chicago, Illinois. That Certain Smile practices all healthcare services and medical treatments related to General Practice. The NPI Number for That Certain Smile is 1396958864. The last update date is 2013-12-26.
That Certain Smile's current location address is 4511 S Lake Park Ave 1n, Chicago, Illinois. You can contact this provider via phone number 7082183296 and fax number 7085750401. The mailing address for That Certain Smile is 4511 S Lake Park Ave 1n, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | That Certain Smile |
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Address | 4511 S Lake Park Ave 1n, Chicago, Illinois |
Phone Number | 7082183296 |
Fax Number | 7085750401 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Harris Michell Tina |
Credentials | DDS |
Telephone Number | 7082183296 |
NPI Number Detail
NPI Number | 1396958864 |
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Provider Enumeration Date | 2007-05-08 |
Last Updated Date | 2013-12-26 |
Provider Mailing Address Detail
Address | 4511 S Lake Park Ave 1n |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606531461 |
Phone Number | 7082183296 |
Fax Number | 7085750401 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
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. |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to That Certain Smile by the Centers for Medicare & Medicaid Services?
The That Certain Smile has been assigned the NPI (National Provider Identifier) 1396958864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where That Certain Smile is physically located?
The That Certain Smile is situated at the following address: 4511 S Lake Park Ave 1N, Chicago, IL 606531461.
What is the area of specialization for That Certain Smile, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for That Certain Smile is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the That Certain Smile receive its 1396958864 assignment from the Centers for Medicare & Medicaid Services?
The That Certain Smile was assigned its 1396958864 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date was the information pertaining to That Certain Smile, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to That Certain Smile, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-26.