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General NPI Number Information
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NPI Number | 1730195496
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Entity Type | Organization
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Legal Business Name | DENNIS J. GEORGE D.D.S.,PC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 845 N MICHIGAN AVE SUITE 920 W
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City | CHICAGO
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State | IL
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Zip | 60611-2252
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Country | US
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Telephone | 312-944-5433
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Fax | 312-944-5436
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Provider Business Mailing Address
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Address Line | 845 N MICHIGAN AVE SUITE 920 W
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City | CHICAGO
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State | IL
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Zip | 60611-2252
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Country | US
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Telephone | 312-944-5433
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Fax | 312-944-5436
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS J GEORGE, DDS
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Credential | DDS
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Telephone | 312-944-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | IL
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