Fabian David Latocha in Wadsworth - Oral And Maxillofacial Surgery
Fabian David Latocha - NPI 1033167242
Fabian David Latocha is a Oral And Maxillofacial Surgery in Wadsworth, Illinois. Fabian David Latocha practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Fabian David Latocha is 1033167242. The last update date is 2007-07-08.
Fabian David Latocha's current location address is 13380 W 21st St, Wadsworth, Illinois. You can contact this provider via phone number 8477467517. The mailing address for Fabian David Latocha is 13380 W 21st St, Wadsworth, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fabian David Latocha |
|---|---|
| Address | 13380 W 21st St, Wadsworth, Illinois |
| Phone Number | 8477467517 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1033167242 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13380 W 21st St |
|---|---|
| City | Wadsworth |
| State | Illinois (IL) |
| Post Code | 600839474 |
| Phone Number | 8477467517 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
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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. |
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What is the unique provider identifier assigned to Fabian David Latocha?
The Fabian David Latocha has been issued the NPI (National Provider Identifier) 1033167242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Fabian David Latocha is located?
The Fabian David Latocha is situated at the following address: 13380 W 21St St, Wadsworth, IL, 600839474.
What is Fabian David Latocha's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fabian David Latocha's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did Fabian David Latocha receive its 1033167242 assignment from the Centers for Medicare & Medicaid Services?
The Fabian David Latocha was assigned its 1033167242 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Fabian David Latocha most recently updated?
The details pertaining to the Fabian David Latocha, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT