Douglas W Head in Glen Ellyn - Orthodontics And Dentofacial Orthopedics
Douglas W Head - NPI 1184794992
Douglas W Head is a Orthodontics And Dentofacial Orthopedics in Glen Ellyn, Illinois. Douglas W Head practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Douglas W Head is 1184794992. The last update date is 2007-07-08.
Douglas W Head's current location address is 420 Pennsylvania Ave, Glen Ellyn, Illinois. You can contact this provider via phone number 6308582060 and fax number 6308584025. The mailing address for Douglas W Head is 420 Pennsylvania Ave, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas W Head |
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Address | 420 Pennsylvania Ave, Glen Ellyn, Illinois |
Phone Number | 6308582060 |
Fax Number | 6308584025 |
Sole Proprietor | Y |
Credentials | D.M.D., M. |
NPI Number Detail
NPI Number | 1184794992 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 420 Pennsylvania Ave |
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City | Glen Ellyn |
State | Illinois (IL) |
Post Code | 601374437 |
Phone Number | 6308582060 |
Fax Number | 6308584025 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas W Head by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas W Head has been assigned the NPI (National Provider Identifier) 1184794992. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Douglas W Head is physically located?
The Douglas W Head is physically situated at the following address: 420 Pennsylvania Ave, Glen Ellyn, IL, 601374437.
What is Douglas W Head'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 Douglas W Head is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Douglas W Head receive its 1184794992 assignment from the Centers for Medicare & Medicaid Services?
The Douglas W Head was assigned its 1184794992 by the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the Douglas W Head's information last updated?
The Douglas W Head's information was last updated on 2007-07-08.