MEDICARE: PAUL INCZE DDS PC

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	019018456	IL

General Provider Information

NPI Number	:	1760572796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL INCZE DDS PC

Provider Business Mailing Address
First Line	:	2360 W TOUHY AVE
Second Line	:	SUITE A
City	:	CHICAGO
State	:	IL
Zip	:	60645-3449
Country	:	US
Telephone Number	:	773-761-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 W TOUHY AVE
Second Line	:	SUITE A
City	:	CHICAGO
State	:	IL
Zip	:	60645-3449
Country	:	US
Telephone Number	:	773-761-7900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PAUL INCZE
Credential	:	DDS
Telephone Number	:	773-761-7900

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	12/13/2016

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