North Shore Dentistry For Children in Evanston - Pediatric Dentistry
North Shore Dentistry For Children - NPI 1396875662
North Shore Dentistry For Children is a Pediatric Dentistry in Evanston, Illinois. North Shore Dentistry For Children practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for North Shore Dentistry For Children is 1396875662. The last update date is 2020-08-22.
North Shore Dentistry For Children's current location address is 1560 Sherman Ave, Evanston, Illinois. You can contact this provider via phone number 8478695417. The mailing address for North Shore Dentistry For Children is 1560 Sherman Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Dentistry For Children |
|---|---|
| Address | 1560 Sherman Ave, Evanston, Illinois |
| Phone Number | 8478695417 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Hall Carlson Tracy |
| Telephone Number | 8478695417 |
NPI Number Detail
| NPI Number | 1396875662 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1560 Sherman Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014818 |
| Phone Number | 8478695417 |
| Fax Number |
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 North Shore Dentistry For Children by the Centers for Medicare & Medicaid Services (CMS)?
The North Shore Dentistry For Children has been assigned the NPI (National Provider Identifier) 1396875662. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where North Shore Dentistry For Children is physically located?
The North Shore Dentistry For Children is physically situated at the following address: 1560 Sherman Ave, Evanston, IL, 602014818.
What is North Shore Dentistry For Children's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Shore Dentistry For Children's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did North Shore Dentistry For Children receive its 1396875662 assignment?
The North Shore Dentistry For Children was assigned its 1396875662 on 2007-03-06, which is the date when this unique identifier was issued to the organization.
As of what date were the North Shore Dentistry For Children's details last updated?
The information pertaining to the North Shore Dentistry For Children, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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