Yendis L Gibson in Skokie - General Practice

Yendis L Gibson - NPI 1255402616

Yendis L Gibson is a General Practice in Skokie, Illinois. Yendis L Gibson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Yendis L Gibson is 1255402616. The last update date is 2007-07-08.

Yendis L Gibson's current location address is 3419 Dempster St, Skokie, Illinois. You can contact this provider via phone number 8475681337 and fax number 8475681437. The mailing address for Yendis L Gibson is 3419 Dempster St, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Yendis L Gibson
Address 3419 Dempster St, Skokie, Illinois
Phone Number 8475681337
Fax Number 8475681437
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1255402616
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3419 Dempster St
City Skokie
State Illinois (IL)
Post Code 600762441
Phone Number 8475681337
Fax Number 8475681437

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19017102
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
19017102 IL STATE LICENSE

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FAQs about Yendis L Gibson

What is the unique 10-digit identifier code assigned to Yendis L Gibson by the Centers for Medicare & Medicaid Services?

The Yendis L Gibson has been issued the NPI (National Provider Identifier) 1255402616 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Yendis L Gibson's facilities are situated?

The facilities of Yendis L Gibson are physically located at the following address: 3419 Dempster St, Skokie, IL, 600762441.

What is Yendis L Gibson's area of expertise and its corresponding taxonomy classification?

The Yendis L Gibson'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 Yendis L Gibson receive the assignment of its 1255402616 from the Centers for Medicare & Medicaid Services?

The Yendis L Gibson was issued its 1255402616 by the Centers for Medicare & Medicaid Services on 2006-11-10.

When was the information regarding Yendis L Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Yendis L Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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