- Practice location
- 4707 N Pulaski RD, Chicago, IL 60630-4312
- Phone
- 773-279-9977
- Fax
- —
- Last updated
- February 3, 2017
1ST Family Dental Of Pulaski PC is a healthcare organization based in Chicago, IL. 1ST Family Dental Of Pulaski PC practices in Chicago, IL. The NPI Number for 1ST Family Dental Of Pulaski PC is 1104364769 and holds a License No. 019023616 (IL). The current practice location address for 1ST Family Dental Of Pulaski PC is 4707 N Pulaski RD, Chicago, IL 60630-4312 and can be reached out via phone at 773-279-9977.
Provider Profile Details
- NPI Number
- 1104364769
- Provider Name
- 1ST Family Dental Of Pulaski PC
- Provider Entity Type
- Organization
- Address
- 4707 N Pulaski RD, Chicago, IL 60630-4312
- Phone Number
- 773-279-9977
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Vesna Belkic · Coo · 773-340-8318
- Provider Enumeration Date
- February 3, 2017
- Last Update Date
- February 3, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4707 N Pulaski RD
Chicago, IL 60630-4312 - City
- Chicago
- State
- Illinois
- Zip
- 60630-4312
- Phone Number
- 773-279-9977
Provider Business Mailing Address Details
- Address
- 4901 N Kedzie Ave
Chicago, IL 60625-5009 - City
- Chicago
- State
- IL
- Zip
- 60625-5009
- Phone Number
- 773-340-8318
License Information
- License Number
- 019023616
- License State
- IL
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1ST Family Dental Of Pulaski PC?
The NPI number of 1ST Family Dental Of Pulaski PC is 1104364769. It was assigned on February 3, 2017 and is currently active in the NPPES registry.
What is the specialty of 1ST Family Dental Of Pulaski PC?
1ST Family Dental Of Pulaski PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019023616.
Where does 1ST Family Dental Of Pulaski PC practice?
The practice location is 4707 N Pulaski RD, Chicago, IL 60630-4312. The office can be reached at 773-279-9977 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104364769 directly on the NPPES registry website.