City Kids Dental, Pc in Chicago - Pediatric Dentistry
City Kids Dental, Pc - NPI 1013068972
City Kids Dental, Pc is a Pediatric Dentistry in Chicago, Illinois. City Kids Dental, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for City Kids Dental, Pc is 1013068972. The last update date is 2020-08-22.
City Kids Dental, Pc's current location address is 4700 N Western Ave, Chicago, Illinois. You can contact this provider via phone number 7732932700 and fax number 7732933854. The mailing address for City Kids Dental, Pc is 4700 N Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | City Kids Dental, Pc |
|---|---|
| Address | 4700 N Western Ave, Chicago, Illinois |
| Phone Number | 7732932700 |
| Fax Number | 7732933854 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tierney Elizabeth Mary |
| Credentials | D.D.S., M. |
| Telephone Number | 7732932700 |
NPI Number Detail
| NPI Number | 1013068972 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4700 N Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606252081 |
| Phone Number | 7732932700 |
| Fax Number | 7732933854 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to City Kids Dental, Pc by the Centers for Medicare & Medicaid Services?
The City Kids Dental, Pc has been assigned the NPI (National Provider Identifier) 1013068972. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the City Kids Dental, Pc's physical address?
The City Kids Dental, Pc is physically located at 4700 N Western Ave, in the city of Chicago, IL, with the postal code 606252081.
What is City Kids Dental, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The City Kids Dental, Pc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did the City Kids Dental, Pc receive its 1013068972?
The City Kids Dental, Pc was issued its 1013068972 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding City Kids Dental, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to City Kids Dental, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.