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 |
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Address | 10522 S Cicero Ave, Oak Lawn, Illinois |
Phone Number | 7089529185 |
Fax Number | 7089529186 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Brosnan Glen James |
Credentials | D.D.S. |
Telephone Number | 7089529185 |
NPI Number Detail
NPI Number | 1962581736 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 10522 S Cicero Ave |
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City | Oak Lawn |
State | Illinois (IL) |
Post Code | 604535200 |
Phone Number | 7089529185 |
Fax Number | 7089529186 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 19A12667 |
Definition: Provides general and specialized dental care and oral surgery. |
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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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