Lavergne Dental Care Pc in Cicero - General Practice

Lavergne Dental Care Pc - NPI 1245415256

Lavergne Dental Care Pc is a General Practice in Cicero, Illinois. Lavergne Dental Care Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lavergne Dental Care Pc is 1245415256. The last update date is 2008-01-09.

Lavergne Dental Care Pc's current location address is 4939 W 14th St, Cicero, Illinois. You can contact this provider via phone number 7086521080 and fax number 7086523080. The mailing address for Lavergne Dental Care Pc is 4939 W 14th St, Cicero, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lavergne Dental Care Pc
Address 4939 W 14th St, Cicero, Illinois
Phone Number 7086521080
Fax Number 7086523080
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jacob B Sherin
Credentials DDS
Telephone Number 7086521080

NPI Number Detail

NPI Number 1245415256
Provider Enumeration Date 2008-01-09
Last Updated Date 2008-01-09

Provider Mailing Address Detail

Address 4939 W 14th St
City Cicero
State Illinois (IL)
Post Code 608041419
Phone Number 7086521080
Fax Number 7086523080

Provider's Primary Taxonomy Detail

Speciality General Practice
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
179906 IL --

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FAQs about Lavergne Dental Care Pc

What is the unique 10-digit identifier code issued to Lavergne Dental Care Pc by the Centers for Medicare & Medicaid Services?

The Lavergne Dental Care Pc has been assigned the NPI (National Provider Identifier) 1245415256 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Lavergne Dental Care Pc is physically located?

The Lavergne Dental Care Pc is physically situated at the following address: 4939 W 14Th St, Cicero, IL, 608041419.

What is Lavergne Dental Care Pc's area of expertise and its corresponding taxonomy classification?

The Lavergne Dental Care 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.

When was the Lavergne Dental Care Pc's 1245415256 issued?

The Lavergne Dental Care Pc's 1245415256 was issued on 2008-01-09.

As of what date were the Lavergne Dental Care Pc's details last updated?

The information pertaining to the Lavergne Dental Care Pc, including its address, specialty, and other details, was most recently updated on 2008-01-09.

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