Main Street Dental P.C. in East Dundee - Dental
Main Street Dental P.C. - NPI 1699952440
Main Street Dental P.C. is a Dental in East Dundee, Illinois. Main Street Dental P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Main Street Dental P.C. is 1699952440. The last update date is 2023-08-31.
Main Street Dental P.C.'s current location address is 106 N. River Street, East Dundee, Illinois. You can contact this provider via phone number 8477830303 and fax number 8477830311. The mailing address for Main Street Dental P.C. is 106 N. River Street, East Dundee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Dental P.C. |
|---|---|
| Address | 106 N. River Street, East Dundee, Illinois |
| Phone Number | 8477830303 |
| Fax Number | 8477830311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Desai Amish |
| Credentials | DDS |
| Telephone Number | 8477830303 |
NPI Number Detail
| NPI Number | 1699952440 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2023-08-31 |
Provider Mailing Address Detail
| Address | 106 N. River Street |
|---|---|
| City | East Dundee |
| State | Illinois (IL) |
| Post Code | 60118 |
| Phone Number | 8477830303 |
| Fax Number | 8477830311 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 19025759 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the Main Street Dental P.C.'s 1699952440?
The Main Street Dental P.C.'s NPI (National Provider Identifier) Number is 1699952440. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Main Street Dental P.C. located?
The Main Street Dental P.C. is located at 106 N. River Street, East Dundee, IL 60118.
What is Main Street Dental P.C.'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 Main Street Dental P.C. is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
When was the Main Street Dental P.C.'s 1699952440 issued?
The Main Street Dental P.C.'s 1699952440 was issued on 2008-01-23.
As of what date were the Main Street Dental P.C.'s details last updated?
The information pertaining to the Main Street Dental P.C., including its address, specialty, and other details, was most recently updated on 2023-08-31.
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