Kelly Anne Mack in Roselle - Dental Hygienist
Kelly Anne Mack - NPI 1245308899
Kelly Anne Mack is a Dental Hygienist in Roselle, Illinois. Kelly Anne Mack practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kelly Anne Mack is 1245308899. The last update date is 2007-07-08.
Kelly Anne Mack's current location address is 621 Glacier Trail, Roselle, Illinois. You can contact this provider via phone number 6309800992. The mailing address for Kelly Anne Mack is 621 Glacier Trail, Roselle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Anne Mack |
|---|---|
| Address | 621 Glacier Trail, Roselle, Illinois |
| Phone Number | 6309800992 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD4 |
NPI Number Detail
| NPI Number | 1245308899 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 621 Glacier Trail |
|---|---|
| City | Roselle |
| State | Illinois (IL) |
| Post Code | 60172 |
| Phone Number | 6309800992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Anne Mack by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Anne Mack has been assigned the NPI (National Provider Identifier) 1245308899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kelly Anne Mack is physically located?
The Kelly Anne Mack is situated at the following address: 621 Glacier Trail, Roselle, IL 60172.
What is Kelly Anne Mack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Anne Mack is Dental Hygienist, and the corresponding taxonomy classification code for this specialized field is 124Q00000X.
When did the Kelly Anne Mack receive its 1245308899?
The Kelly Anne Mack was issued its 1245308899 on 2006-12-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kelly Anne Mack last refreshed?
The information related to the Kelly Anne Mack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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