Dr. M Jack Isaacs , DDS
Dentist - General Practice • Dolton, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. M Isaacs has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. M Isaacs, DDS was a registered Dentist - General Practice practicing in Dolton, IL. Throughout an active medical career spanning 11 years, Dr. Isaacs provided care at the practice location at 1350 E SIBLEY BLVD until profile deactivation on 2017-04-10.
Practice Location & Contact Primary Location
1350 E Sibley Blvd
Suite 302
Dolton, IL 604192965
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Dolton, IL
Practicing in Dolton, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2017
NPI status registered as active in NPPES database
Registered at 1350 E SIBLEY BLVD, SUITE 302, DOLTON, IL 604192965 (Tel: 7088494644)
Registered at 1350 E SIBLEY BLVD, SUITE 302, DOLTON, IL 604192965 (Tel: 7088494644)
Recorded as M ISAACS, D.D.S
Dentist (License #19011491 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1350 E Sibley Blvd, Suite 302
Dolton, IL 604192965
Phone: 7088494644
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