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WEBSTER DENTAL CARE EDISON PARK LTD NPI 1083079339


NPI Information

NPI: 1083079339
Provider Name: WEBSTER DENTAL CARE EDISON PARK, LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7760 W DEVON AVE
CHICAGO, IL
ZIP 60631
Phone: (773) 775-2210
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WEBSTER DENTAL CARE EDISON PARK, LTD is a general practice dentist in Chicago, 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. WEBSTER DENTAL CARE EDISON PARK, LTD NPI is 1083079339. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7760 W DEVON AVE
CHICAGO, IL
ZIP 60631-500
Phone: (773) 775-2210

The provider's authorized official is Steven P Rempas .
The authorized official title is Owner and has the following contact phone number (847) 763-5890.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.


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 Practice019015631ILLINOISYes

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

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