Avid Dental Pc is a General Practice in Joliet, Illinois. Avid Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Avid Dental Pc is 1083802524. The last update date is 2007-10-10.
Avid Dental Pc's current location address is 115 Republic Ave, Joliet, Illinois. You can contact this provider via phone number 8154832040 and fax number 8154832071. The mailing address for Avid Dental Pc is 115 Republic Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avid Dental Pc |
|---|---|
| Address | 115 Republic Ave, Joliet, Illinois |
| Phone Number | 8154832040 |
| Fax Number | 8154832071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Rubis Joseph David |
| Credentials | DDS |
| Telephone Number | 8154832040 |
NPI Number Detail
| NPI Number | 1083802524 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 115 Republic Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604356515 |
| Phone Number | 8154832040 |
| Fax Number | 8154832071 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19016647 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Avid Dental Pc?
The Avid Dental Pc has been issued the NPI (National Provider Identifier) 1083802524 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 address where Avid Dental Pc is physically located?
The Avid Dental Pc is situated at the following address: 115 Republic Ave, Joliet, IL 604356515.
What is the Avid Dental Pc's area of specialization and corresponding taxonomy classification?
The Avid Dental Pc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1083802524 to Avid Dental Pc?
The Avid Dental Pc received its 1083802524 assignment from the Centers for Medicare & Medicaid Services on 2007-10-10.
When was the Avid Dental Pc's information last updated?
The Avid Dental Pc's information was last updated on 2007-10-10.