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NORTH SUBURBAN DENTAL ASSOCIATES PC NPI 1245319607


NPI Information

NPI: 1245319607
Provider Name: NORTH SUBURBAN DENTAL ASSOCIATES PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4833 CHURCH ST
SKOKIE, IL
ZIP 60077
Phone: (847) 673-7118
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NORTH SUBURBAN DENTAL ASSOCIATES PC is a general practice dentist in Skokie, 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. NORTH SUBURBAN DENTAL ASSOCIATES PC NPI is 1245319607. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4833 CHURCH ST
SKOKIE, IL
ZIP 60077-357
Phone: (847) 673-7118
Fax: (847) 673-4709

The provider's authorized official is Barry F Freydberg .
The authorized official title is President and has the following contact phone number (847) 673-7118.

The enumeration date for this NPI number is 11/4/2006 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 PracticeILLINOISYes
21223G0001XDentistGeneral PracticeILLINOISX
31223G0001XDentistGeneral PracticeILLINOISX
41223G0001XDentistGeneral PracticeILLINOISX
51223G0001XDentistGeneral PracticeILLINOISX
61223G0001XDentistGeneral PracticeILLINOISX
71223P0221XDentistPediatric DentistryILLINOISX
81223P0221XDentistPediatric DentistryILLINOISX
91223P0300XDentistPeriodonticsILLINOISX
101223S0112XDentistOral and Maxillofacial SurgeryILLINOISX
111223S0112XDentistOral and Maxillofacial SurgeryILLINOISX
121223X0400XDentistOrthodontics and Dentofacial OrthopedicsILLINOISX

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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