MEFAGUI DENTAL OFFICE P.C.


Address: 6913 W. Grand Ave, Chicago, IL 60707
Phone: 7736224006

MEFAGUI DENTAL OFFICE P.C. (NPI# 1134370059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134370059
Entity Type Organization
Organization Name MEFAGUI DENTAL OFFICE P.C.
Other Organization Name MEFAGUI DENTAL OFFICE
Practice Address 6913 W. Grand Ave
Chicago
IL 60707
Practice Telephone 7736224006
Practice Fax Number 7736224114
Mailing Telephone 7736224006
Mailing Fax Number 7736224114
Enumeration Date 2008-10-09
Last Update Date 2008-10-09
Authorized Official Name DR. ELSA GAMBOA (PRESIDENT)
Authorized Official Telephone 7736224006
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019022954 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 1001939 05

Other Provider/Organization Names

Other Name Type Code
Mefagui Dental Office Former Legal Business Name - Organization

Office Location

Street Address 6913 W. GRAND AVE
City CHICAGO
State IL
Zip Code 60707

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679077408 Karen Ennis, Slp, Inc. Speech-Language Pathologist 1709 73rd Ct, Elmood Park, IL 60707 2018-03-19
1518324995 Dosha Grant Registered Nurse 2317 N Rutherford, Elmwood Park, IL 60707 2016-01-15
1962774794 Oak Park Dental Group Dentist 7034 W. North Ave., Chicago, IL 60707 2012-02-09
1326277005 Resurrection Services Internal Medicine 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 2009-07-02
1821265760 Carly M. Smith Chiropractor 7716 W. North, Elmwood Pk, IL 60707 2008-05-09
1063695096 Henry J. Hagopian D.d.s. P.C. Dentist 7518 W. North Avenue, Elmwood Park, IL 60707 2007-12-13
1386864411 Brian M Caraba Dds PC Dentist 7124 W Diversey Ave, Chicago, IL 60707 2007-04-30
1104041243 Clinics for Wellness and Neuropathy, LLC Internal Medicine 2333 N. Harlem, Chicago, IL 60707 2007-04-16
1972621050 Sid Anderson Psychologist 2408 Westbrook Drive, Elmwood Park, IL 60707 2007-03-27
1477613586 Adnan D Atcha Dentist 7185 W Grand Ave, Chicago, IL 60707 2006-12-11
Find all providers in zip 60707

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60707

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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