Wilbur P Pettitt in Chicago - General Practice
Wilbur P Pettitt - NPI 1689714917
Wilbur P Pettitt is a General Practice in Chicago, Illinois. Wilbur P Pettitt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wilbur P Pettitt is 1689714917. The last update date is 2007-07-08.
Wilbur P Pettitt's current location address is 2020 W 79th St, Chicago, Illinois. You can contact this provider via phone number 7734886700 and fax number 7734886753. The mailing address for Wilbur P Pettitt is 2020 W 79th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilbur P Pettitt |
|---|---|
| Address | 2020 W 79th St, Chicago, Illinois |
| Phone Number | 7734886700 |
| Fax Number | 7734886753 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689714917 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 W 79th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606205720 |
| Phone Number | 7734886700 |
| Fax Number | 7734886753 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-01112 |
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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 provider identifier assigned to Wilbur P Pettitt?
The Wilbur P Pettitt has been issued the NPI (National Provider Identifier) 1689714917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Wilbur P Pettitt located?
The Wilbur P Pettitt is located at 2020 W 79Th St, Chicago, IL 606205720.
What is the area of specialization for Wilbur P Pettitt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wilbur P Pettitt is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Wilbur P Pettitt receive its 1689714917 assignment from the Centers for Medicare & Medicaid Services?
The Wilbur P Pettitt was assigned its 1689714917 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Wilbur P Pettitt most recently updated or revised?
The information pertaining to Wilbur P Pettitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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