Edward Domina is a General Practice in Orland Pk, Illinois. Edward Domina practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Domina is 1639290315. The last update date is 2007-07-08.
Edward Domina's current location address is 8651 West 159th Street, Orland Pk, Illinois. You can contact this provider via phone number 7084290900 and fax number 7084608096. The mailing address for Edward Domina is 8651 West 159th Street, Orland Pk, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Domina |
|---|---|
| Address | 8651 West 159th Street, Orland Pk, Illinois |
| Phone Number | 7084290900 |
| Fax Number | 7084608096 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639290315 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8651 West 159th Street |
|---|---|
| City | Orland Pk |
| State | Illinois (IL) |
| Post Code | 60462 |
| Phone Number | 7084290900 |
| Fax Number | 7084608096 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019A15355 |
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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 10-digit identification code issued to Edward Domina by the Centers for Medicare & Medicaid Services?
The Edward Domina has been assigned the NPI (National Provider Identifier) 1639290315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Edward Domina's facilities are situated?
The facilities of Edward Domina are physically located at the following address: 8651 West 159Th Street, Orland Pk, IL, 60462.
What is Edward Domina's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Domina's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Edward Domina's 1639290315 issued?
The Edward Domina's 1639290315 was issued on 2007-04-02.
As of what date were the Edward Domina's details last updated?
The information pertaining to the Edward Domina, including its address, specialty, and other details, was most recently updated on 2007-07-08.