Martin J Zidron in Deer Park - Oral And Maxillofacial Pathology
Martin J Zidron - NPI 1164462362
Martin J Zidron is a Oral And Maxillofacial Pathology in Deer Park, Illinois. Martin J Zidron practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Martin J Zidron is 1164462362. The last update date is 2012-07-24.
Martin J Zidron's current location address is 21660 W Field Pkwy, Deer Park, Illinois. You can contact this provider via phone number 8473810106 and fax number 8473810265. The mailing address for Martin J Zidron is 21660 W Field Pkwy, Deer Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin J Zidron |
|---|---|
| Address | 21660 W Field Pkwy, Deer Park, Illinois |
| Phone Number | 8473810106 |
| Fax Number | 8473810265 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164462362 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2012-07-24 |
Provider Mailing Address Detail
| Address | 21660 W Field Pkwy |
|---|---|
| City | Deer Park |
| State | Illinois (IL) |
| Post Code | 600107265 |
| Phone Number | 8473810106 |
| Fax Number | 8473810265 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 019-017572 |
|
Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80002564 | IL | BCBS PROVIDER NUMBER | |
| 80022564 | IL | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Martin J Zidron by the Centers for Medicare & Medicaid Services?
The Martin J Zidron has been assigned the NPI (National Provider Identifier) 1164462362. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Martin J Zidron?
The Martin J Zidron is situated at 21660 W Field Pkwy, in the city of Deer Park, state of IL, with the zip code 600107265.
What is Martin J Zidron's area of expertise and its corresponding taxonomy classification?
The Martin J Zidron's field of specialization is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1164462362 to Martin J Zidron?
The Centers for Medicare & Medicaid Services assigned the 1164462362 to Martin J Zidron on 2006-06-07.
When was the information regarding Martin J Zidron most recently updated?
The details pertaining to the Martin J Zidron, including its address, specialty, and other relevant information, were last refreshed on 2012-07-24.
NPI Number: 1063415297
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