Alexey Botian in Mchenry - General Practice

Alexey Botian - NPI 1639365406

Alexey Botian is a General Practice in Mchenry, Illinois. Alexey Botian practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alexey Botian is 1639365406. The last update date is 2007-09-14.

Alexey Botian's current location address is 4306 W Crystal Lake Rd, Mchenry, Illinois. You can contact this provider via phone number 8153440700 and fax number 8153442146. The mailing address for Alexey Botian is 4306 W Crystal Lake Rd, Mchenry, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Alexey Botian
Address 4306 W Crystal Lake Rd, Mchenry, Illinois
Phone Number 8153440700
Fax Number 8153442146
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1639365406
Provider Enumeration Date 2007-09-14
Last Updated Date 2007-09-14

Provider Mailing Address Detail

Address 4306 W Crystal Lake Rd
City Mchenry
State Illinois (IL)
Post Code 600504280
Phone Number 8153440700
Fax Number 8153442146

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No A12886
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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FAQs about Alexey Botian

What is the unique provider identifier assigned to Alexey Botian?

The Alexey Botian has been issued the NPI (National Provider Identifier) 1639365406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Alexey Botian's facilities are situated?

The facilities of Alexey Botian are physically located at the following address: 4306 W Crystal Lake Rd, Mchenry, IL, 600504280.

What is the area of specialization for Alexey Botian, and what is the corresponding taxonomy classification code for this field?

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

When did Alexey Botian receive its 1639365406 assignment?

The Alexey Botian was assigned its 1639365406 on 2007-09-14, which is the date when this unique identifier was issued to the organization.

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

The information related to Alexey Botian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-14.

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