- Practice location
- 105 W Madison St Ste 300, Chicago, IL 60602-4602
- Phone
- 561-899-4595
- Fax
- —
- Last updated
- June 27, 2018
105 W Madison Dental PC is a healthcare organization based in Chicago, IL. 105 W Madison Dental PC practices in Chicago, IL. The NPI Number for 105 W Madison Dental PC is 1730674227. The current practice location address for 105 W Madison Dental PC is 105 W Madison St Ste 300, Chicago, IL 60602-4602 and can be reached out via phone at 561-899-4595.
Provider Profile Details
- NPI Number
- 1730674227
- Provider Name
- 105 W Madison Dental PC
- Provider Entity Type
- Organization
- Address
- 105 W Madison St Ste 300, Chicago, IL 60602-4602
- Phone Number
- 561-899-4595
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Timothy Skidmore, DDS · Practice Administrator · 630-816-9064
- Provider Enumeration Date
- June 27, 2018
- Last Update Date
- June 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 W Madison St Ste 300
Chicago, IL 60602-4602 - City
- Chicago
- State
- Illinois
- Zip
- 60602-4602
- Phone Number
- 561-899-4595
Provider Business Mailing Address Details
- Address
- 600 Fairway Dr Ste 206
Deerfield Beach, FL 33441-1807 - City
- Deerfield Beach
- State
- FL
- Zip
- 33441-1807
- Phone Number
- 561-899-4595
License Information
- 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 105 W Madison Dental PC?
The NPI number of 105 W Madison Dental PC is 1730674227. It was assigned on June 27, 2018 and is currently active in the NPPES registry.
What is the specialty of 105 W Madison Dental PC?
105 W Madison Dental PC is registered under the primary taxonomy Dentist (code 122300000X).
Where does 105 W Madison Dental PC practice?
The practice location is 105 W Madison St Ste 300, Chicago, IL 60602-4602. The office can be reached at 561-899-4595 (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 1730674227 directly on the NPPES registry website.