CREST DENTAL LLC NPI 1033479126

NPI Information

  • NPI: 1033479126
  • Provider Name: CREST DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1354 W ARMY TRAIL RD
    CAROL STREAM, IL
    ZIP 60188
  • Phone: (847) 361-2400

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NPI Details

CREST DENTAL LLC is a general practice dentist in Carol Stream, 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. CREST DENTAL LLC NPI is 1033479126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1354 W ARMY TRAIL RD
CAROL STREAM, IL
ZIP 60188-836
Phone: (847) 361-2400
Fax: (630) 289-6870

The provider's authorized official is Ami K Shah .
The authorized official title is Dentist and has the following contact phone number (847) 361-2400.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 5/22/2012.

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 Practice019.027379ILLINOISYes

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: 3/30/2025

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