Concord Dental Pc in Glen Ellyn - General Practice
Concord Dental Pc - NPI 1053496521
Concord Dental Pc is a General Practice in Glen Ellyn, Illinois. Concord Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Concord Dental Pc is 1053496521. The last update date is 2020-08-22.
Concord Dental Pc's current location address is 498 Hillside Ave Ste 1e, Glen Ellyn, Illinois. You can contact this provider via phone number 6309428110 and fax number 6309428272. The mailing address for Concord Dental Pc is 498 Hillside Ave Ste 1e, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Concord Dental Pc |
|---|---|
| Address | 498 Hillside Ave Ste 1e, Glen Ellyn, Illinois |
| Phone Number | 6309428110 |
| Fax Number | 6309428272 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bhojani Javed |
| Credentials | DDS |
| Telephone Number | 6309428110 |
NPI Number Detail
| NPI Number | 1053496521 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 498 Hillside Ave Ste 1e |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601374546 |
| Phone Number | 6309428110 |
| Fax Number | 6309428272 |
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 unique 10-digit identification code issued to Concord Dental Pc by the Centers for Medicare & Medicaid Services?
The Concord Dental Pc has been assigned the NPI (National Provider Identifier) 1053496521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Concord Dental Pc?
The Concord Dental Pc is situated at 498 Hillside Ave Ste 1E, in the city of Glen Ellyn, state of IL, with the zip code 601374546.
What is Concord Dental Pc's area of expertise and its corresponding taxonomy classification?
The Concord Dental 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 Concord Dental Pc receive the assignment of its 1053496521 from the Centers for Medicare & Medicaid Services?
The Concord Dental Pc was issued its 1053496521 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the Concord Dental Pc's information last updated?
The Concord Dental Pc's information was last updated on 2020-08-22.
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