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DOVER DENTAL CENTER NPI 1003449018


NPI Information

NPI: 1003449018
Provider Name: DOVER DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
95 TRADE ST STE 101
AURORA, IL
ZIP 60504
Phone: (630) 851-7878
Get Directions

DOVER DENTAL CENTER is a general practice dentist in Aurora, 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. DOVER DENTAL CENTER NPI is 1003449018. The provider is registered as an organization entity type.

The provider's business location address is:

95 TRADE ST STE 101
AURORA, IL
ZIP 60504-296
Phone: (630) 851-7878

The provider's authorized official is Maryam Hafezi .
The authorized official title is General Dentist and has the following contact phone number (630) 851-7878.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 3/2/2020.


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
1261QD0000XClinic/CenterDentalNo
21223G0001XDentistGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019025427MEDICAIDILLINOIS

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

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.