DENTAL STARZ LLC NPI 1023276292

NPI Information

NPI: 1023276292
Provider Name: DENTAL STARZ, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2121 S WOLF RD APT 412
HILLSIDE, IL
ZIP 60162
Phone: (630) 290-2023
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DENTAL STARZ, LLC is a dental clinic center in Hillside, IL. DENTAL STARZ, LLC NPI is 1023276292. The provider is registered as an organization entity type.

The provider's business location address is:

2121 S WOLF RD APT 412
HILLSIDE, IL
ZIP 60162-144
Phone: (630) 290-2023

The provider's authorized official is Ilyas Mohammed Ahmed .
The authorized official title is Owner and has the following contact phone number (630) 290-2023.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.

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	019-026721	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

NPI Synchronization or Removal

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