Logan Square Dental Service Center in Chicago - Dental
Logan Square Dental Service Center - NPI 1508038027
Logan Square Dental Service Center is a Dental in Chicago, Illinois. Logan Square Dental Service Center practices all healthcare services and medical treatments related to Dental. The NPI Number for Logan Square Dental Service Center is 1508038027. The last update date is 2008-03-25.
Logan Square Dental Service Center's current location address is 3946 N Cicero Ave, Chicago, Illinois. You can contact this provider via phone number 7732834838 and fax number 7732834389. The mailing address for Logan Square Dental Service Center is 3946 N Cicero Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Logan Square Dental Service Center |
|---|---|
| Address | 3946 N Cicero Ave, Chicago, Illinois |
| Phone Number | 7732834838 |
| Fax Number | 7732834389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Li William |
| Credentials | D.D.S. |
| Telephone Number | 8472840410 |
NPI Number Detail
| NPI Number | 1508038027 |
|---|---|
| Provider Enumeration Date | 2008-03-25 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 3946 N Cicero Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606412711 |
| Phone Number | 7732834838 |
| Fax Number | 7732834389 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Logan Square Dental Service Center by the Centers for Medicare & Medicaid Services?
The Logan Square Dental Service Center has been assigned the NPI (National Provider Identifier) 1508038027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Logan Square Dental Service Center is located?
The Logan Square Dental Service Center is situated at the following address: 3946 N Cicero Ave, Chicago, IL, 606412711.
What is Logan Square Dental Service Center'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 Logan Square Dental Service Center is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
When did the Logan Square Dental Service Center receive its 1508038027?
The Logan Square Dental Service Center was issued its 1508038027 on 2008-03-25, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Logan Square Dental Service Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Logan Square Dental Service Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-25.
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