Maywood Dental Excellence in Maywood - Dental
Maywood Dental Excellence - NPI 1528274461
Maywood Dental Excellence is a Dental in Maywood, Illinois. Maywood Dental Excellence practices all healthcare services and medical treatments related to Dental. The NPI Number for Maywood Dental Excellence is 1528274461. The last update date is 2020-08-22.
Maywood Dental Excellence's current location address is 1409 S 5th Ave, Maywood, Illinois. You can contact this provider via phone number 7088652225 and fax number 7088652282. The mailing address for Maywood Dental Excellence is 1409 S 5th Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maywood Dental Excellence |
|---|---|
| Address | 1409 S 5th Ave, Maywood, Illinois |
| Phone Number | 7088652225 |
| Fax Number | 7088652282 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Cvetkovic D. Mike |
| Credentials | D.D.S. |
| Telephone Number | 7088652225 |
NPI Number Detail
| NPI Number | 1528274461 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1409 S 5th Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601532128 |
| Phone Number | 7088652225 |
| Fax Number | 7088652282 |
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 Maywood Dental Excellence's unique identification number?
The Maywood Dental Excellence has been assigned the NPI (National Provider Identifier) Number 1528274461 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Maywood Dental Excellence's physical address?
The Maywood Dental Excellence is physically located at 1409 S 5Th Ave, in the city of Maywood, IL, with the postal code 601532128.
What is the area of specialization for Maywood Dental Excellence, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maywood Dental Excellence is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did Maywood Dental Excellence receive its 1528274461 assignment from the Centers for Medicare & Medicaid Services?
The Maywood Dental Excellence was assigned its 1528274461 on 2007-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Maywood Dental Excellence most recently updated or revised?
The details related to Maywood Dental Excellence, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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