MEDICARE: DR. GEORGE TRAKAKIS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019022385	IL

General Provider Information

NPI Number	:	1316018138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE TRAKAKIS DDS

Provider Business Mailing Address
First Line	:	4405 FOX VALLEY CENTER DR
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-4116
Country	:	US
Telephone Number	:	630-506-6721
Fax Number	:	216-584-1007

Provider Business Practice Location Address
First Line	:	4405 FOX VALLEY CENTER DR
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-4116
Country	:	US
Telephone Number	:	630-506-6721
Fax Number	:	216-584-1007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	11/29/2023

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