Humboldt Community Dental Pc in Chicago - Dental
Humboldt Community Dental Pc - NPI 1942490149
Humboldt Community Dental Pc is a Dental in Chicago, Illinois. Humboldt Community Dental Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Humboldt Community Dental Pc is 1942490149. The last update date is 2007-07-25.
Humboldt Community Dental Pc's current location address is 1044 N Mozart St, Chicago, Illinois. You can contact this provider via phone number 7737729200 and fax number 7737729203. The mailing address for Humboldt Community Dental Pc is 1044 N Mozart St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Humboldt Community Dental Pc |
|---|---|
| Address | 1044 N Mozart St, Chicago, Illinois |
| Phone Number | 7737729200 |
| Fax Number | 7737729203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Korkus Jason |
| Credentials | DDS |
| Telephone Number | 7737729200 |
NPI Number Detail
| NPI Number | 1942490149 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 1044 N Mozart St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606222789 |
| Phone Number | 7737729200 |
| Fax Number | 7737729203 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163914 | IL | -- |
Post Comment/ Review Below
What is the Humboldt Community Dental Pc's 1942490149?
The Humboldt Community Dental Pc's NPI (National Provider Identifier) Number is 1942490149. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Humboldt Community Dental Pc?
The Humboldt Community Dental Pc is physically situated at 1044 N Mozart St, in the city of Chicago, state of IL, with the postal code 606222789.
What is Humboldt Community Dental Pc's area of expertise and its corresponding taxonomy classification?
The Humboldt Community Dental Pc's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Humboldt Community Dental Pc receive the assignment of its 1942490149 from the Centers for Medicare & Medicaid Services?
The Humboldt Community Dental Pc was issued its 1942490149 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date were the details pertaining to Humboldt Community Dental Pc last refreshed?
The information related to the Humboldt Community Dental Pc, including its address, specialty, and other relevant details, was last updated on 2007-07-25.
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