Fox Valley Dental Associates Of Crystal Lake Llc in Crystal Lake - General Practice
Fox Valley Dental Associates Of Crystal Lake Llc - NPI 1972646925
Fox Valley Dental Associates Of Crystal Lake Llc is a General Practice in Crystal Lake, Illinois. Fox Valley Dental Associates Of Crystal Lake Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fox Valley Dental Associates Of Crystal Lake Llc is 1972646925. The last update date is 2020-08-22.
Fox Valley Dental Associates Of Crystal Lake Llc's current location address is 360 N Terra Cotta Rd, Crystal Lake, Illinois. You can contact this provider via phone number 8154770770 and fax number 8154448841. The mailing address for Fox Valley Dental Associates Of Crystal Lake Llc is 360 N Terra Cotta Rd, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fox Valley Dental Associates Of Crystal Lake Llc |
|---|---|
| Address | 360 N Terra Cotta Rd, Crystal Lake, Illinois |
| Phone Number | 8154770770 |
| Fax Number | 8154448841 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL DE |
|---|---|
| Authorized Official Name | Hornyak R Gregg |
| Credentials | D.D.S. |
| Telephone Number | 8154770770 |
NPI Number Detail
| NPI Number | 1972646925 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 360 N Terra Cotta Rd |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600123749 |
| Phone Number | 8154770770 |
| Fax Number | 8154448841 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 Fox Valley Dental Associates Of Crystal Lake Llc's 1972646925?
The Fox Valley Dental Associates Of Crystal Lake Llc's NPI (National Provider Identifier) Number is 1972646925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Fox Valley Dental Associates Of Crystal Lake Llc?
The Fox Valley Dental Associates Of Crystal Lake Llc is situated at 360 N Terra Cotta Rd, in the city of Crystal Lake, state of IL, with the zip code 600123749.
What is Fox Valley Dental Associates Of Crystal Lake Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fox Valley Dental Associates Of Crystal Lake Llc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did the Fox Valley Dental Associates Of Crystal Lake Llc receive its 1972646925?
The Fox Valley Dental Associates Of Crystal Lake Llc was issued its 1972646925 on 2007-02-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Fox Valley Dental Associates Of Crystal Lake Llc most recently updated or revised?
The information pertaining to Fox Valley Dental Associates Of Crystal Lake Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.