Julie Ann Bacon is a Periodontics in Elmhurst, Illinois. Julie Ann Bacon practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Julie Ann Bacon is 1124163555. The last update date is 2007-07-08.
Julie Ann Bacon's current location address is 183 Addison, Elmhurst, Illinois. You can contact this provider via phone number 6308321212 and fax number 6308326041. The mailing address for Julie Ann Bacon is 183 Addison, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Ann Bacon |
|---|---|
| Address | 183 Addison, Elmhurst, Illinois |
| Phone Number | 6308321212 |
| Fax Number | 6308326041 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1124163555 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 183 Addison |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 60126 |
| Phone Number | 6308321212 |
| Fax Number | 6308326041 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 210002163 |
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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 unique identification code assigned to Julie Ann Bacon by the Centers for Medicare & Medicaid Services?
The Julie Ann Bacon has been issued the NPI (National Provider Identifier) 1124163555. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Julie Ann Bacon?
The Julie Ann Bacon is situated at 183 Addison, in the city of Elmhurst, state of IL, with the zip code 60126.
What is Julie Ann Bacon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Julie Ann Bacon's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did Julie Ann Bacon receive its 1124163555 assignment from the Centers for Medicare & Medicaid Services?
The Julie Ann Bacon was assigned its 1124163555 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Julie Ann Bacon most recently updated or refreshed?
The details pertaining to the Julie Ann Bacon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.