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NPI Code Detail

MEDICARE: DR. GEORGE A. DEMEROS DDS

MEDICARE: DR. GEORGE A. DEMEROS 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
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1760463772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE A. DEMEROS DDS
Provider Business Mailing Address
First Line : PO BOX 3742
Second Line :
City : BARRINGTON
State : IL
Zip : 60011-3742
Country : US
Telephone Number : 312-968-0802
Fax Number : 847-842-1462
Provider Business Practice Location Address
First Line : 5400 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-1272
Country : US
Telephone Number : 847-508-0101
Fax Number : 847-842-1463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GEORGE A. DEMEROS DDS” Practice Location

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