Ibbi Dental Clinic Pc in Morton Grove - General Practice

Ibbi Dental Clinic Pc - NPI 1902941263

Ibbi Dental Clinic Pc is a General Practice in Morton Grove, Illinois. Ibbi Dental Clinic Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ibbi Dental Clinic Pc is 1902941263. The last update date is 2007-08-16.

Ibbi Dental Clinic Pc's current location address is 7963 Golf Road, Morton Grove, Illinois. You can contact this provider via phone number 8475830033 and fax number 8475830013. The mailing address for Ibbi Dental Clinic Pc is 7963 Golf Road, Morton Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ibbi Dental Clinic Pc
Address 7963 Golf Road, Morton Grove, Illinois
Phone Number 8475830033
Fax Number 8475830013
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Botvinnik Igor
Credentials DDS
Telephone Number 8475830033

NPI Number Detail

NPI Number 1902941263
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-08-16

Provider Mailing Address Detail

Address 7963 Golf Road
City Morton Grove
State Illinois (IL)
Post Code 60053
Phone Number 8475830033
Fax Number 8475830013

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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
1004642 IL --

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FAQs about Ibbi Dental Clinic Pc

What is the unique identification code assigned to Ibbi Dental Clinic Pc by the Centers for Medicare & Medicaid Services?

The Ibbi Dental Clinic Pc has been issued the NPI (National Provider Identifier) 1902941263. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Ibbi Dental Clinic Pc?

The Ibbi Dental Clinic Pc is situated at 7963 Golf Road, in the city of Morton Grove, state of IL, with the zip code 60053.

What is Ibbi Dental Clinic Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ibbi Dental Clinic Pc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Ibbi Dental Clinic Pc receive the assignment of its 1902941263 from the Centers for Medicare & Medicaid Services?

The Ibbi Dental Clinic Pc was issued its 1902941263 by the Centers for Medicare & Medicaid Services on 2007-02-21.

When was the information related to Ibbi Dental Clinic Pc most recently updated or refreshed?

The details pertaining to the Ibbi Dental Clinic Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-16.

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