Brian C. Gniadek in Lindenhurst - General Practice
Brian C. Gniadek - NPI 1194878959
Brian C. Gniadek is a General Practice in Lindenhurst, Illinois. Brian C. Gniadek practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian C. Gniadek is 1194878959. The last update date is 2020-07-27.
Brian C. Gniadek's current location address is 2031 E Grand Ave Ste 101, Lindenhurst, Illinois. You can contact this provider via phone number 8472659070 and fax number 8472659279. The mailing address for Brian C. Gniadek is 2031 E Grand Ave Ste 101, Lindenhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian C. Gniadek |
|---|---|
| Address | 2031 E Grand Ave Ste 101, Lindenhurst, Illinois |
| Phone Number | 8472659070 |
| Fax Number | 8472659279 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1194878959 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-07-27 |
Provider Mailing Address Detail
| Address | 2031 E Grand Ave Ste 101 |
|---|---|
| City | Lindenhurst |
| State | Illinois (IL) |
| Post Code | 600469094 |
| Phone Number | 8472659070 |
| Fax Number | 8472659279 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-022558 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36-4247595 | IL | TAX ID | |
| 784607 | IL | UCCI PROVIDER # |
Post Comment/ Review Below
What is the Brian C. Gniadek's unique identification number?
The Brian C. Gniadek has been assigned the NPI (National Provider Identifier) Number 1194878959 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Brian C. Gniadek is located?
The Brian C. Gniadek is situated at the following address: 2031 E Grand Ave Ste 101, Lindenhurst, IL, 600469094.
What is Brian C. Gniadek's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian C. Gniadek's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194878959 to Brian C. Gniadek?
The Brian C. Gniadek received its 1194878959 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Brian C. Gniadek most recently updated or revised?
The information pertaining to Brian C. Gniadek, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-27.