Eugene Charles Decker in Oak Lawn - General Practice
Eugene Charles Decker - NPI 1366572620
Eugene Charles Decker is a General Practice in Oak Lawn, Illinois. Eugene Charles Decker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eugene Charles Decker is 1366572620. The last update date is 2007-07-08.
Eugene Charles Decker's current location address is 4647 W 103rd St, Oak Lawn, Illinois. You can contact this provider via phone number 7084228260 and fax number 7084226952. The mailing address for Eugene Charles Decker is 4647 W 103rd St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Charles Decker |
|---|---|
| Address | 4647 W 103rd St, Oak Lawn, Illinois |
| Phone Number | 7084228260 |
| Fax Number | 7084226952 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366572620 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4647 W 103rd St |
|---|---|
| City | Oak Lawn |
| State | Illinois (IL) |
| Post Code | 604534779 |
| Phone Number | 7084228260 |
| Fax Number | 7084226952 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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What is the unique identification code assigned to Eugene Charles Decker by the Centers for Medicare & Medicaid Services?
The Eugene Charles Decker has been issued the NPI (National Provider Identifier) 1366572620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eugene Charles Decker's facilities are geographically located?
The facilities of Eugene Charles Decker are physically situated at the following location: 4647 W 103Rd St, Oak Lawn, IL, 604534779.
What is Eugene Charles Decker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eugene Charles Decker is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Eugene Charles Decker receive its 1366572620 assignment from the Centers for Medicare & Medicaid Services?
The Eugene Charles Decker was assigned its 1366572620 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information related to Eugene Charles Decker most recently updated or refreshed?
The details pertaining to the Eugene Charles Decker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.