Bassel Dulli in New Lenox - Pediatric Dentistry
Bassel Dulli - NPI 1750338877
Bassel Dulli is a Pediatric Dentistry in New Lenox, Illinois. Bassel Dulli practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bassel Dulli is 1750338877. The last update date is 2015-01-15.
Bassel Dulli's current location address is 1890 Silver Cross Blvd, New Lenox, Illinois. You can contact this provider via phone number 6304180476 and fax number 8157178774. The mailing address for Bassel Dulli is 1890 Silver Cross Blvd, New Lenox, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bassel Dulli |
|---|---|
| Address | 1890 Silver Cross Blvd, New Lenox, Illinois |
| Phone Number | 6304180476 |
| Fax Number | 8157178774 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750338877 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2015-01-15 |
Provider Mailing Address Detail
| Address | 1890 Silver Cross Blvd |
|---|---|
| City | New Lenox |
| State | Illinois (IL) |
| Post Code | 604519524 |
| Phone Number | 6304180476 |
| Fax Number | 8157178774 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 021-002106 |
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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 Bassel Dulli's unique identification number?
The Bassel Dulli has been assigned the NPI (National Provider Identifier) Number 1750338877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Bassel Dulli?
The Bassel Dulli is physically situated at 1890 Silver Cross Blvd, in the city of New Lenox, state of IL, with the postal code 604519524.
What is Bassel Dulli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bassel Dulli's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Bassel Dulli receive its 1750338877 assignment from the Centers for Medicare & Medicaid Services?
The Bassel Dulli was assigned its 1750338877 by the Centers for Medicare & Medicaid Services on 2006-05-27.
When was the information regarding Bassel Dulli, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bassel Dulli, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-15.