The Preventive Dentistry Cntr Pc in Chicago - General Practice

The Preventive Dentistry Cntr Pc - NPI 1447410139

The Preventive Dentistry Cntr Pc is a General Practice in Chicago, Illinois. The Preventive Dentistry Cntr Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for The Preventive Dentistry Cntr Pc is 1447410139. The last update date is 2022-02-18.

The Preventive Dentistry Cntr Pc's current location address is Po Box 29052, Chicago, Illinois. You can contact this provider via phone number 7734453337 and fax number 7734453340. The mailing address for The Preventive Dentistry Cntr Pc is Po Box 29052, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Preventive Dentistry Cntr Pc
Address Po Box 29052, Chicago, Illinois
Phone Number 7734453337
Fax Number 7734453340
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gordon G Jeffrey
Credentials DDS
Telephone Number 7734453337

NPI Number Detail

NPI Number 1447410139
Provider Enumeration Date 2008-06-16
Last Updated Date 2022-02-18

Provider Mailing Address Detail

Address Po Box 29052
City Chicago
State Illinois (IL)
Post Code 606290052
Phone Number 7734453337
Fax Number 7734453340

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19023383
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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FAQs about The Preventive Dentistry Cntr Pc

What is the unique identifier code issued to The Preventive Dentistry Cntr Pc by the Centers for Medicare & Medicaid Services (CMS)?

The The Preventive Dentistry Cntr Pc has been assigned the NPI (National Provider Identifier) 1447410139. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of The Preventive Dentistry Cntr Pc?

The The Preventive Dentistry Cntr Pc is situated at Po Box 29052, in the city of Chicago, state of IL, with the zip code 606290052.

What is The Preventive Dentistry Cntr Pc's area of expertise and its corresponding taxonomy classification?

The The Preventive Dentistry Cntr Pc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did The Preventive Dentistry Cntr Pc receive its 1447410139 assignment from the Centers for Medicare & Medicaid Services?

The The Preventive Dentistry Cntr Pc was assigned its 1447410139 on 2008-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to The Preventive Dentistry Cntr Pc most recently updated or refreshed?

The details pertaining to the The Preventive Dentistry Cntr Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-18.

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