George A Mandelaris in Oakbrook Terrace - Periodontics
George A Mandelaris - NPI 1356568513
George A Mandelaris is a Periodontics in Oakbrook Terrace, Illinois. George A Mandelaris practices all healthcare services and medical treatments related to Periodontics. The NPI Number for George A Mandelaris is 1356568513. The last update date is 2011-03-24.
George A Mandelaris's current location address is 1s224 Summit Ave, Oakbrook Terrace, Illinois. You can contact this provider via phone number 6306273930 and fax number 6306272148. The mailing address for George A Mandelaris is 1s224 Summit Ave, Oakbrook Terrace, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George A Mandelaris |
|---|---|
| Address | 1s224 Summit Ave, Oakbrook Terrace, Illinois |
| Phone Number | 6306273930 |
| Fax Number | 6306272148 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356568513 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2011-03-24 |
Provider Mailing Address Detail
| Address | 1s224 Summit Ave |
|---|---|
| City | Oakbrook Terrace |
| State | Illinois (IL) |
| Post Code | 601813983 |
| Phone Number | 6306273930 |
| Fax Number | 6306272148 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19024971 |
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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 George A Mandelaris's unique identification number?
The George A Mandelaris has been assigned the NPI (National Provider Identifier) Number 1356568513 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 street address where George A Mandelaris is physically located?
The George A Mandelaris is physically situated at the following address: 1S224 Summit Ave, Oakbrook Terrace, IL, 601813983.
What is George A Mandelaris's specialized field of practice, and what is the corresponding taxonomy classification code?
The George A Mandelaris's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356568513 to George A Mandelaris?
The Centers for Medicare & Medicaid Services originally issued the 1356568513 to George A Mandelaris on 2007-04-19.
As of what date were the details pertaining to George A Mandelaris last refreshed?
The information related to the George A Mandelaris, including its address, specialty, and other relevant details, was last updated on 2011-03-24.
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