Richard C Prendergast in Evanston - Periodontics
Richard C Prendergast - NPI 1225108210
Richard C Prendergast is a Periodontics in Evanston, Illinois. Richard C Prendergast practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Richard C Prendergast is 1225108210. The last update date is 2007-07-08.
Richard C Prendergast's current location address is 636 Church St, Evanston, Illinois. You can contact this provider via phone number 8474911880 and fax number 8474911895. The mailing address for Richard C Prendergast is 636 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard C Prendergast |
|---|---|
| Address | 636 Church St, Evanston, Illinois |
| Phone Number | 8474911880 |
| Fax Number | 8474911895 |
| Sole Proprietor | Y |
| Credentials | D.D.S. , |
NPI Number Detail
| NPI Number | 1225108210 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 636 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014508 |
| Phone Number | 8474911880 |
| Fax Number | 8474911895 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Richard C Prendergast by the Centers for Medicare & Medicaid Services?
The Richard C Prendergast has been issued the NPI (National Provider Identifier) 1225108210. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Richard C Prendergast is located?
The Richard C Prendergast is situated at the following address: 636 Church St, Evanston, IL, 602014508.
What is Richard C Prendergast's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard C Prendergast's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
When did Richard C Prendergast receive its 1225108210 assignment?
The Richard C Prendergast was assigned its 1225108210 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Richard C Prendergast most recently updated or revised?
The information pertaining to Richard C Prendergast, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
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