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ASHBURY DENTAL CLINIC INC NPI 1053568824


NPI Information

NPI: 1053568824
Provider Name: ASHBURY DENTAL CLINIC INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2272 W 95TH ST
SUITE 315
NAPERVILLE, IL
ZIP 60564
Phone: (630) 717-0111
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ASHBURY DENTAL CLINIC INC is a general practice dentist in Naperville, 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. ASHBURY DENTAL CLINIC INC NPI is 1053568824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2272 W 95TH ST
SUITE 315
NAPERVILLE, IL
ZIP 60564-912
Phone: (630) 717-0111

The provider's authorized official is Yong Taek Shim .
The authorized official title is President and has the following contact phone number (630) 717-0111.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 1/15/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice019024865ILLINOISYes

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

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