DENTAL STARZ 3 L.L.C NPI 1063862431

NPI Information

  • NPI: 1063862431
  • Provider Name: DENTAL STARZ 3 L.L.C
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1701 N LARKIN AVE
    SUITE 504 A
    CREST HILL, IL
    ZIP 60403
  • Phone: (708) 562-5100

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NPI Details

DENTAL STARZ 3 L.L.C is a general practice dentist in Crest Hill, 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. DENTAL STARZ 3 L.L.C NPI is 1063862431. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1701 N LARKIN AVE
SUITE 504 A
CREST HILL, IL
ZIP 60403-970
Phone: (708) 562-5100

The provider's authorized official is Mohammed Asim .
The authorized official title is General Dentist and has the following contact phone number (708) 562-5100.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.

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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223G0001XDentistGeneral PracticeYes

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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