Brosnan Dental Ltd in Oak Lawn - Dental

Brosnan Dental Ltd - NPI 1962581736

Brosnan Dental Ltd is a Dental in Oak Lawn, Illinois. Brosnan Dental Ltd practices all healthcare services and medical treatments related to Dental. The NPI Number for Brosnan Dental Ltd is 1962581736. The last update date is 2020-08-22.

Brosnan Dental Ltd's current location address is 10522 S Cicero Ave, Oak Lawn, Illinois. You can contact this provider via phone number 7089529185 and fax number 7089529186. The mailing address for Brosnan Dental Ltd is 10522 S Cicero Ave, Oak Lawn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brosnan Dental Ltd
Address 10522 S Cicero Ave, Oak Lawn, Illinois
Phone Number 7089529185
Fax Number 7089529186
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Brosnan Glen James
Credentials D.D.S.
Telephone Number 7089529185

NPI Number Detail

NPI Number 1962581736
Provider Enumeration Date 2006-11-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 10522 S Cicero Ave
City Oak Lawn
State Illinois (IL)
Post Code 604535200
Phone Number 7089529185
Fax Number 7089529186

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 19A12667
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Brosnan Dental Ltd

What is the Brosnan Dental Ltd's 1962581736?

The Brosnan Dental Ltd's NPI (National Provider Identifier) Number is 1962581736. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brosnan Dental Ltd's facilities are geographically located?

The facilities of Brosnan Dental Ltd are physically situated at the following location: 10522 S Cicero Ave, Oak Lawn, IL, 604535200.

What is Brosnan Dental Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brosnan Dental Ltd is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.

On what date did the Brosnan Dental Ltd receive the assignment of its 1962581736 from the Centers for Medicare & Medicaid Services?

The Brosnan Dental Ltd was issued its 1962581736 by the Centers for Medicare & Medicaid Services on 2006-11-03.

When was the information pertaining to Brosnan Dental Ltd most recently updated or revised?

The details related to Brosnan Dental Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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