MEDICARE: ADAM A SOLANO,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

General Provider Information

NPI Number	:	1811012073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM A SOLANO,DDS.,PC

Provider Business Mailing Address
First Line	:	5918 W HIGGINS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1905
Country	:	US
Telephone Number	:	773-685-4343
Fax Number	:

Provider Business Practice Location Address
First Line	:	5918 W HIGGINS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1905
Country	:	US
Telephone Number	:	773-685-4343
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADAM A SOLANO
Credential	:	DDS
Telephone Number	:	773-685-4343

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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