Irina Bolotnikov Dds Pc in Morton Grove - General Practice

Irina Bolotnikov Dds Pc - NPI 1740326313

Irina Bolotnikov Dds Pc is a General Practice in Morton Grove, Illinois. Irina Bolotnikov Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Irina Bolotnikov Dds Pc is 1740326313. The last update date is 2008-06-18.

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

Provider Profile Detail

Provider Organization Irina Bolotnikov Dds Pc
Address 7963 Gold Road, Morton Grove, Illinois
Phone Number 8475830033
Fax Number 8475830013
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST PR
Authorized Official Name Bolotnikov Irina
Credentials DDS
Telephone Number 8475830033

NPI Number Detail

NPI Number 1740326313
Provider Enumeration Date 2007-01-30
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 7963 Gold 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
Licence No 19029871
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 Irina Bolotnikov Dds Pc

What is the Irina Bolotnikov Dds Pc's 1740326313?

The Irina Bolotnikov Dds Pc's NPI (National Provider Identifier) Number is 1740326313. 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 street address where Irina Bolotnikov Dds Pc is physically located?

The Irina Bolotnikov Dds Pc is physically situated at the following address: 7963 Gold Road, Morton Grove, IL, 60053.

What is the Irina Bolotnikov Dds Pc's area of specialization and corresponding taxonomy classification?

The Irina Bolotnikov Dds Pc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date was the 1740326313 assigned to Irina Bolotnikov Dds Pc?

The Irina Bolotnikov Dds Pc was issued its 1740326313 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Irina Bolotnikov Dds Pc most recently updated?

The details pertaining to the Irina Bolotnikov Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-18.

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