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UDELSON ELMHURST LLC NPI 1245741768


NPI Information

NPI: 1245741768
Provider Name: UDELSON ELMHURST LLC

Doing Business As: ELMHURST DENTISTRY FOR KIDS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
311 N YORK ST
ELMHURST, IL
ZIP 60126
Phone: (630) 833-1166
Get Directions

UDELSON ELMHURST LLC is a dental clinic center in Elmhurst, IL. UDELSON ELMHURST LLC NPI is 1245741768. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmhurst Dentistry For Kids.

The provider's business location address is:

311 N YORK ST
ELMHURST, IL
ZIP 60126-317
Phone: (630) 833-1166

The provider's authorized official is Jerry Udelson .
The authorized official title is Owner and has the following contact phone number (630) 833-1166.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental021001495ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021001495OTHERILLINOISPEDIATRIC DENTISTRY

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: 5/5/2024
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