EZ DENTAL NPI 1104284710

NPI Information

  • NPI: 1104284710
  • Provider Name: EZ DENTAL
  • Classification: Dental Laboratory - 292200000X
  • Entity Type: Organization
  • Address: 5621 W.MONTROSE AVENUE
    CHICAGO, IL
    ZIP 60634
  • Phone: (773) 427-1000

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NPI Details

EZ DENTAL is a dental laboratory in Chicago, IL. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. EZ DENTAL NPI is 1104284710. The provider is registered as an organization entity type.

The provider's business location address is:

5621 W.MONTROSE AVENUE
CHICAGO, IL
ZIP 60634
Phone: (773) 427-1000

The provider's authorized official is Abdul Majzoub .
The authorized official title is Boss and has the following contact phone number (773) 583-4455.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 2/10/2016.

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
1292200000XDental Laboratory019023027ILLINOISYes

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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