Jason Ralph Crescenzo in Tinley Park - General Practice
Jason Ralph Crescenzo - NPI 1114192838
Jason Ralph Crescenzo is a General Practice in Tinley Park, Illinois. Jason Ralph Crescenzo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Ralph Crescenzo is 1114192838. The last update date is 2011-02-02.
Jason Ralph Crescenzo's current location address is 16345 Harlem Ave Ste 160, Tinley Park, Illinois. You can contact this provider via phone number 7087819754 and fax number 7087819758. The mailing address for Jason Ralph Crescenzo is 16345 Harlem Ave Ste 160, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Ralph Crescenzo |
|---|---|
| Address | 16345 Harlem Ave Ste 160, Tinley Park, Illinois |
| Phone Number | 7087819754 |
| Fax Number | 7087819758 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114192838 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2011-02-02 |
Provider Mailing Address Detail
| Address | 16345 Harlem Ave Ste 160 |
|---|---|
| City | Tinley Park |
| State | Illinois (IL) |
| Post Code | 604772589 |
| Phone Number | 7087819754 |
| Fax Number | 7087819758 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19027570 |
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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 Jason Ralph Crescenzo by the Centers for Medicare & Medicaid Services?
The Jason Ralph Crescenzo has been issued the NPI (National Provider Identifier) 1114192838. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jason Ralph Crescenzo located?
The Jason Ralph Crescenzo is located at 16345 Harlem Ave Ste 160, Tinley Park, IL 604772589.
What is Jason Ralph Crescenzo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Ralph Crescenzo's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114192838 to Jason Ralph Crescenzo?
The Centers for Medicare & Medicaid Services assigned the 1114192838 to Jason Ralph Crescenzo on 2008-04-23.
As of what date were the Jason Ralph Crescenzo's details last updated?
The information pertaining to the Jason Ralph Crescenzo, including its address, specialty, and other details, was most recently updated on 2011-02-02.
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