Glenwood Dental Pc in Glendale Heights - General Practice
Glenwood Dental Pc - NPI 1104974708
Glenwood Dental Pc is a General Practice in Glendale Heights, Illinois. Glenwood Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenwood Dental Pc is 1104974708. The last update date is 2020-08-22.
Glenwood Dental Pc's current location address is 1155 N Main St, Glendale Heights, Illinois. You can contact this provider via phone number 6305451116 and fax number 6305451117. The mailing address for Glenwood Dental Pc is 1155 N Main St, Glendale Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenwood Dental Pc |
|---|---|
| Address | 1155 N Main St, Glendale Heights, Illinois |
| Phone Number | 6305451116 |
| Fax Number | 6305451117 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Marimuthu Subbashini |
| Credentials | D.M.D |
| Telephone Number | 6305451116 |
NPI Number Detail
| NPI Number | 1104974708 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1155 N Main St |
|---|---|
| City | Glendale Heights |
| State | Illinois (IL) |
| Post Code | 601393508 |
| Phone Number | 6305451116 |
| Fax Number | 6305451117 |
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 Glenwood Dental Pc by the Centers for Medicare & Medicaid Services?
The Glenwood Dental Pc has been assigned the NPI (National Provider Identifier) 1104974708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Glenwood Dental Pc located?
The Glenwood Dental Pc is located at 1155 N Main St, Glendale Heights, IL 601393508.
What is the area of specialization for Glenwood Dental Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glenwood Dental Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Glenwood Dental Pc receive its 1104974708 assignment from the Centers for Medicare & Medicaid Services?
The Glenwood Dental Pc was assigned its 1104974708 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Glenwood Dental Pc most recently updated or refreshed?
The details pertaining to the Glenwood Dental Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.