Anthony M Spina in Park Ridge - Oral And Maxillofacial Surgery

Anthony M Spina - NPI 1508850272

Anthony M Spina is a Oral And Maxillofacial Surgery in Park Ridge, Illinois. Anthony M Spina practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Anthony M Spina is 1508850272. The last update date is 2022-10-12.

Anthony M Spina's current location address is 22 S Washington Ave, Park Ridge, Illinois. You can contact this provider via phone number 8472683910 and fax number 8478973118. The mailing address for Anthony M Spina is 22 S Washington Ave, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony M Spina
Address 22 S Washington Ave, Park Ridge, Illinois
Phone Number 8472683910
Fax Number 8478973118
Sole Proprietor N
Credentials DDS MD

NPI Number Detail

NPI Number 1508850272
Provider Enumeration Date 2005-09-08
Last Updated Date 2022-10-12

Provider Mailing Address Detail

Address 22 S Washington Ave
City Park Ridge
State Illinois (IL)
Post Code 600684267
Phone Number 8472683910
Fax Number 8478973118

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 19022251
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19022251 IL --

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FAQs about Anthony M Spina

What is the unique provider identifier assigned to Anthony M Spina?

The Anthony M Spina has been issued the NPI (National Provider Identifier) 1508850272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Anthony M Spina's physical address?

The Anthony M Spina is physically located at 22 S Washington Ave, in the city of Park Ridge, IL, with the postal code 600684267.

What is Anthony M Spina's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Anthony M Spina is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did Anthony M Spina receive its 1508850272 assignment from the Centers for Medicare & Medicaid Services?

The Anthony M Spina was assigned its 1508850272 on 2005-09-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Anthony M Spina's details last updated?

The information pertaining to the Anthony M Spina, including its address, specialty, and other details, was most recently updated on 2022-10-12.

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