Sonrisa Dental Pc is a Dental in Chicago, Illinois. Sonrisa Dental Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Sonrisa Dental Pc is 1881893147. The last update date is 2007-07-16.
Sonrisa Dental Pc's current location address is 2001 S California Ave, Chicago, Illinois. You can contact this provider via phone number 7734841201 and fax number 7734841205. The mailing address for Sonrisa Dental Pc is 2001 S California Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sonrisa Dental Pc |
|---|---|
| Address | 2001 S California Ave, Chicago, Illinois |
| Phone Number | 7734841201 |
| Fax Number | 7734841205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Korkus Jason |
| Credentials | DDS |
| Telephone Number | 7734841201 |
NPI Number Detail
| NPI Number | 1881893147 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 2001 S California Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606082486 |
| Phone Number | 7734841201 |
| Fax Number | 7734841205 |
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 unique identifier code issued to Sonrisa Dental Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Sonrisa Dental Pc has been assigned the NPI (National Provider Identifier) 1881893147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Sonrisa Dental Pc is physically located?
The Sonrisa Dental Pc is physically situated at the following address: 2001 S California Ave, Chicago, IL, 606082486.
What is the Sonrisa Dental Pc's specialty and taxonomy code?
The Sonrisa Dental Pc's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.
On what date did the Sonrisa Dental Pc receive the assignment of its 1881893147 from the Centers for Medicare & Medicaid Services?
The Sonrisa Dental Pc was issued its 1881893147 by the Centers for Medicare & Medicaid Services on 2007-07-16.
As of what date were the Sonrisa Dental Pc's details last updated?
The information pertaining to the Sonrisa Dental Pc, including its address, specialty, and other details, was most recently updated on 2007-07-16.