Periodonitcs Of Elgin, Ltd in Elgin - Periodontics
Periodonitcs Of Elgin, Ltd - NPI 1326062951
Periodonitcs Of Elgin, Ltd is a Periodontics in Elgin, Illinois. Periodonitcs Of Elgin, Ltd practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodonitcs Of Elgin, Ltd is 1326062951. The last update date is 2020-08-22.
Periodonitcs Of Elgin, Ltd's current location address is 2000 Larkin Ave Ste 306, Elgin, Illinois. You can contact this provider via phone number 8476974646 and fax number 8476978364. The mailing address for Periodonitcs Of Elgin, Ltd is 2000 Larkin Ave Ste 306, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodonitcs Of Elgin, Ltd |
|---|---|
| Address | 2000 Larkin Ave Ste 306, Elgin, Illinois |
| Phone Number | 8476974646 |
| Fax Number | 8476978364 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Maggio A Frank |
| Credentials | DDS |
| Telephone Number | 8476974646 |
NPI Number Detail
| NPI Number | 1326062951 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2000 Larkin Ave Ste 306 |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601235880 |
| Phone Number | 8476974646 |
| Fax Number | 8476978364 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21000876 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Periodonitcs Of Elgin, Ltd's 1326062951?
The Periodonitcs Of Elgin, Ltd's NPI (National Provider Identifier) Number is 1326062951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Periodonitcs Of Elgin, Ltd is physically located?
The Periodonitcs Of Elgin, Ltd is physically situated at the following address: 2000 Larkin Ave Ste 306, Elgin, IL, 601235880.
What is the Periodonitcs Of Elgin, Ltd's specialty and taxonomy code?
The Periodonitcs Of Elgin, Ltd's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326062951 to Periodonitcs Of Elgin, Ltd?
The Periodonitcs Of Elgin, Ltd received its 1326062951 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details pertaining to Periodonitcs Of Elgin, Ltd last refreshed?
The information related to the Periodonitcs Of Elgin, Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.