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NPI Code Detail

MEDICARE: DR. JOHN J DZAKOVICH DDS

MEDICARE: DR. JOHN J DZAKOVICH 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 Dentistry0190016695IL
21223G0001XGeneral Practice Dentistry019-0016695IL

General Provider Information

NPI Number : 1548398811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J DZAKOVICH DDS
Provider Business Mailing Address
First Line : 1608 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-255-4898
Fax Number : 847-255-4834
Provider Business Practice Location Address
First Line : 1608 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-255-4898
Fax Number : 847-255-4834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 10/02/2014

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Directions to “ DR. JOHN J DZAKOVICH DDS” Practice Location

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