Advanced Total Dental Care in Glenview - Dental
Advanced Total Dental Care - NPI 1558545830
Advanced Total Dental Care is a Dental in Glenview, Illinois. Advanced Total Dental Care practices all healthcare services and medical treatments related to Dental. The NPI Number for Advanced Total Dental Care is 1558545830. The last update date is 2007-12-22.
Advanced Total Dental Care's current location address is 1873 Waukegan Rd, Glenview, Illinois. You can contact this provider via phone number 8477292875 and fax number 8477240157. The mailing address for Advanced Total Dental Care is 1873 Waukegan Rd, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Total Dental Care |
|---|---|
| Address | 1873 Waukegan Rd, Glenview, Illinois |
| Phone Number | 8477292875 |
| Fax Number | 8477240157 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lee Ku Seo |
| Credentials | D.D.S. |
| Telephone Number | 8477292875 |
NPI Number Detail
| NPI Number | 1558545830 |
|---|---|
| Provider Enumeration Date | 2007-12-22 |
| Last Updated Date | 2007-12-22 |
Provider Mailing Address Detail
| Address | 1873 Waukegan Rd |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600252158 |
| Phone Number | 8477292875 |
| Fax Number | 8477240157 |
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 identifier code issued to Advanced Total Dental Care by the Centers for Medicare & Medicaid Services?
The Advanced Total Dental Care has been assigned the NPI (National Provider Identifier) 1558545830. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Advanced Total Dental Care is located?
The Advanced Total Dental Care is situated at the following address: 1873 Waukegan Rd, Glenview, IL, 600252158.
What is the Advanced Total Dental Care's specialty and taxonomy code?
The Advanced Total Dental Care's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558545830 to Advanced Total Dental Care?
The Advanced Total Dental Care received its 1558545830 assignment from the Centers for Medicare & Medicaid Services on 2007-12-22.
As of what date was the information pertaining to Advanced Total Dental Care, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Advanced Total Dental Care, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC