Conrad Magno in Naperville - Dentist Anesthesiologist
Conrad Magno - NPI 1215125935
Conrad Magno is a Dentist Anesthesiologist in Naperville, Illinois. Conrad Magno practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Conrad Magno is 1215125935. The last update date is 2022-02-07.
Conrad Magno's current location address is 1220 W Ogden Ave, Naperville, Illinois. You can contact this provider via phone number 6308481212 and fax number 6308481254. The mailing address for Conrad Magno is 1220 W Ogden Ave, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Conrad Magno |
|---|---|
| Address | 1220 W Ogden Ave, Naperville, Illinois |
| Phone Number | 6308481212 |
| Fax Number | 6308481254 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215125935 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2022-02-07 |
Provider Mailing Address Detail
| Address | 1220 W Ogden Ave |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605638969 |
| Phone Number | 6308481212 |
| Fax Number | 6308481254 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
| Licence No | 137.000681 |
|
Definition: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1851529832 | WI | -- | |
| 1851529382 | IL | -- |
Post Comment/ Review Below
What is the Conrad Magno's unique identification number?
The Conrad Magno has been assigned the NPI (National Provider Identifier) Number 1215125935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Conrad Magno is physically located?
The Conrad Magno is situated at the following address: 1220 W Ogden Ave, Naperville, IL 605638969.
What is the Conrad Magno's area of specialization and corresponding taxonomy classification?
The Conrad Magno's specialty field is Dentist Anesthesiologist, and it falls under the taxonomy code 1223D0004X, which categorizes healthcare providers based on their specialties.
On what date did the Conrad Magno receive its 1215125935 assignment from the Centers for Medicare & Medicaid Services?
The Conrad Magno was assigned its 1215125935 by the Centers for Medicare & Medicaid Services on 2007-10-09.
When was the information regarding Conrad Magno, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Conrad Magno, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-07.