LINCOLN COURT DENTAL LTD NPI 1417128489

NPI Information

NPI: 1417128489
Provider Name: LINCOLN COURT DENTAL, LTD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8037 LINCOLN AVE
SKOKIE, IL
ZIP 60077
Phone: (847) 679-5558
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LINCOLN COURT DENTAL, LTD is a dental clinic center in Skokie, IL. LINCOLN COURT DENTAL, LTD NPI is 1417128489. The provider is registered as an organization entity type.

The provider's business location address is:

8037 LINCOLN AVE
SKOKIE, IL
ZIP 60077-612
Phone: (847) 679-5558

The provider's authorized official is Richard Randy Mikos .
The authorized official title is Owner/president and has the following contact phone number (847) 679-5558.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.

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
1	261QD0000X	Clinic/Center	Dental		ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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