GEORGETOWN DENTAL LLC NPI 1023345568

NPI Information

  • NPI: 1023345568
  • Provider Name: GEORGETOWN DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 7212 EDGEBROOK LN
    HANOVER PARK, IL
    ZIP 60133
  • Phone: (630) 837-3700

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NPI Details

GEORGETOWN DENTAL LLC is a general practice dentist in Hanover Park, 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. GEORGETOWN DENTAL LLC NPI is 1023345568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7212 EDGEBROOK LN
HANOVER PARK, IL
ZIP 60133-751
Phone: (630) 837-3700
Fax: (630) 837-3849

The provider's authorized official is Kathleen M Hansen .
The authorized official title is Sole Member and has the following contact phone number (630) 837-3700.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/4/2009.

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 Practice019019366ILLINOISYes

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: 11/21/2025

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