Martha E. Diaz, DDS

General Practice Dentistry · Waukegan, IL

Individual Active NPI

NPI number 1114139540

Practice location

1611 Grand Ave
Waukegan, IL 60085-3605
Phone
(847) 599-3855
Fax
(847) 599-3859

Open in Google Maps

NPI record

NPI
1114139540
Entity type
Individual (Type 1)
Enumeration date
May 6, 2007
Last updated
July 26, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.026605 IL

About Dr. Diaz

Martha E. Diaz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1611 Grand Ave, Waukegan, IL 60085-3605. The NPI number 1114139540 was assigned on May 6, 2007 and the record was last updated on July 26, 2019.

Dr. Diaz lists a license in the registry: #019.026605 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Martha E. Diaz, DDS?

The NPI number is 1114139540.

What is the phone number of Dr. Diaz?

The phone number listed for the practice location is (847) 599-3855.

Where is Dr. Diaz located?

1611 Grand Ave, Waukegan, IL 60085-3605.

What is the taxonomy code for Dr. Diaz?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Waukegan

All General Practice Dentistry providers in Waukegan, IL →