Provider Type Icon

NICOLAS E KRAVANYA DMD LLC NPI 1255412599


NPI Information

NPI: 1255412599
Provider Name: NICOLAS E KRAVANYA DMD LLC

Doing Business As: KRAVANYA & BOENTE FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
204 OAKLAND AVE
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-6505
Get Directions

NICOLAS E KRAVANYA DMD LLC is a general practice dentist in Carlinville, 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. NICOLAS E KRAVANYA DMD LLC NPI is 1255412599. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kravanya & Boente Family Dentistry.

The provider's business location address is:

204 OAKLAND AVE
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-6505
Fax: (217) 854-6505

The provider's authorized official is Nicolas Eric Kravanya .
The authorized official title is Dentist/owner and has the following contact phone number (217) 854-4741.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/27/2022.


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
11223G0001XDentistGeneral Practice019018555ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.