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MT. PROSPECT DENTAL CENTER LTD NPI 1124148374


NPI Information

NPI: 1124148374
Provider Name: MT. PROSPECT DENTAL CENTER, LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
617 E GOLF RD
SUITE 106
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 593-8465
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MT. PROSPECT DENTAL CENTER, LTD is a general practice dentist in Arlington Heights, 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. MT. PROSPECT DENTAL CENTER, LTD NPI is 1124148374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

617 E GOLF RD
SUITE 106
ARLINGTON HEIGHTS, IL
ZIP 60005-966
Phone: (847) 593-8465
Fax: (847) 593-5144

The provider's authorized official is Charles Frank Gilbert .
The authorized official title is President Of Corporation and has the following contact phone number (847) 593-8465.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


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 PracticeILLINOISYes

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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