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JOHN J DZAKOVICH DDS LTD NPI 1245634534


NPI Information

NPI: 1245634534
Provider Name: JOHN J DZAKOVICH DDS LTD

Doing Business As: MAYWOOD FAMILY DENTAL LTD

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1409 S 5TH AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 865-2225
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JOHN J DZAKOVICH DDS LTD is a clinic center in Maywood, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JOHN J DZAKOVICH DDS LTD NPI is 1245634534. The provider is registered as an organization entity type.
The provider Is Doing Business As Maywood Family Dental Ltd.

The provider's business location address is:

1409 S 5TH AVE
MAYWOOD, IL
ZIP 60153-128
Phone: (708) 865-2225

The provider's authorized official is James Poulos .
The authorized official title is President and has the following contact phone number (708) 865-2225.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center019.016695ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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