Robert Thomas Miserendino in Justice - General Practice

Robert Thomas Miserendino - NPI 1134118110

Robert Thomas Miserendino is a General Practice in Justice, Illinois. Robert Thomas Miserendino practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Thomas Miserendino is 1134118110. The last update date is 2009-08-21.

Robert Thomas Miserendino's current location address is 8535 W 79th St, Justice, Illinois. You can contact this provider via phone number 7084587552. The mailing address for Robert Thomas Miserendino is 8535 W 79th St, Justice, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Thomas Miserendino
Address 8535 W 79th St, Justice, Illinois
Phone Number 7084587552
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1134118110
Provider Enumeration Date 2005-10-21
Last Updated Date 2009-08-21

Provider Mailing Address Detail

Address 8535 W 79th St
City Justice
State Illinois (IL)
Post Code 604582281
Phone Number 7084587552
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19015140
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
1002995 IL --

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FAQs about Robert Thomas Miserendino

What is the Robert Thomas Miserendino's 1134118110?

The Robert Thomas Miserendino's NPI (National Provider Identifier) Number is 1134118110. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Robert Thomas Miserendino?

The Robert Thomas Miserendino is physically situated at 8535 W 79Th St, in the city of Justice, state of IL, with the postal code 604582281.

What is the area of specialization for Robert Thomas Miserendino, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Thomas Miserendino is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When was the Robert Thomas Miserendino's 1134118110 issued?

The Robert Thomas Miserendino's 1134118110 was issued on 2005-10-21.

As of what date was the information regarding Robert Thomas Miserendino, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Thomas Miserendino, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-21.

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