Pa Dental Incorporated in Waukegan - General Practice
Pa Dental Incorporated - NPI 1013120005
Pa Dental Incorporated is a General Practice in Waukegan, Illinois. Pa Dental Incorporated practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pa Dental Incorporated is 1013120005. The last update date is 2020-08-22.
Pa Dental Incorporated's current location address is 2605a Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8472447779. The mailing address for Pa Dental Incorporated is 2605a Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pa Dental Incorporated |
|---|---|
| Address | 2605a Grand Ave, Waukegan, Illinois |
| Phone Number | 8472447779 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Paruchuri Ajitha |
| Credentials | D.M.D. |
| Telephone Number | 6302295469 |
NPI Number Detail
| NPI Number | 1013120005 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2605a Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600852410 |
| Phone Number | 8472447779 |
| Fax Number |
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 10-digit identification code assigned to Pa Dental Incorporated by the Centers for Medicare & Medicaid Services?
The Pa Dental Incorporated has been issued the NPI (National Provider Identifier) 1013120005, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pa Dental Incorporated located?
The Pa Dental Incorporated is located at 2605A Grand Ave, Waukegan, IL 600852410.
What is Pa Dental Incorporated's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pa Dental Incorporated is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When was the Pa Dental Incorporated's 1013120005 issued?
The Pa Dental Incorporated's 1013120005 was issued on 2007-05-07.
As of what date were the Pa Dental Incorporated's details last updated?
The information pertaining to the Pa Dental Incorporated, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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