ACCUDENT ASSOCIATES LLC NPI 1912153479

NPI Information

NPI: 1912153479
Provider Name: ACCUDENT ASSOCIATES LLC

Doing Business As: FAMILY DENTAL HEALTH CENTER

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

Specialization: Dental

Address:
811 S. WESTERN AVE
CHICAGO, IL
ZIP 60612
Phone: (312) 226-0210
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ACCUDENT ASSOCIATES LLC is a dental clinic center in Chicago, IL. ACCUDENT ASSOCIATES LLC NPI is 1912153479. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Dental Health Center.

The provider's business location address is:

811 S. WESTERN AVE
CHICAGO, IL
ZIP 60612
Phone: (312) 226-0210
Fax: (312) 226-0240

The provider's authorized official is Thomas Edward Shimoda .
The authorized official title is Dentist and has the following contact phone number (312) 226-0210.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 4/18/2019.

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	019016473	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: 4/28/2024

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