PETER M. JURKASH D.D.S.P.C. NPI 1023257433

NPI Information

NPI: 1023257433
Provider Name: PETER M. JURKASH, D.D.S.,P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15475 S PARK AVE
SUITE 101
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 596-9400
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PETER M. JURKASH, D.D.S.,P.C. is a dental clinic center in South Holland, IL. PETER M. JURKASH, D.D.S.,P.C. NPI is 1023257433. The provider is registered as an organization entity type.

The provider's business location address is:

15475 S PARK AVE
SUITE 101
SOUTH HOLLAND, IL
ZIP 60473-328
Phone: (708) 596-9400

The provider's authorized official is Peter M Jurkash .
The authorized official title is President and has the following contact phone number (708) 596-9400.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/9/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	019017211	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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