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TOWN CENTRE DENTAL GROUP LTD. NPI 1154530459


NPI Information

NPI: 1154530459
Provider Name: TOWN CENTRE DENTAL GROUP, LTD.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
636 CHURCH ST
SUITE 309
EVANSTON, IL
ZIP 60201
Phone: (847) 328-1180
Get Directions

TOWN CENTRE DENTAL GROUP, LTD. is a general practice dentist in Evanston, IL. The provider is 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. TOWN CENTRE DENTAL GROUP, LTD. NPI is 1154530459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

636 CHURCH ST
SUITE 309
EVANSTON, IL
ZIP 60201-508
Phone: (847) 328-1180
Fax: (847) 328-1189

The provider's authorized official is Robert S. Krueger .
The authorized official title is President and has the following contact phone number (847) 328-1180.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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