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KAPIL KELLA DDS PC NPI 1134625031


NPI Information

NPI: 1134625031
Provider Name: KAPIL KELLA DDS PC

Doing Business As: LAKESHORE DENTAL STUDIO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5505 N CLARK ST
CHICAGO, IL
ZIP 60640
Phone: (989) 714-3142
Get Directions

KAPIL KELLA DDS PC 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. KAPIL KELLA DDS PC NPI is 1134625031. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeshore Dental Studio.

The provider's business location address is:

5505 N CLARK ST
CHICAGO, IL
ZIP 60640-213
Phone: (989) 714-3142

The provider's authorized official is Kapil Kella .
The authorized official title is Dentist/owner and has the following contact phone number (989) 714-3142.

The enumeration date for this NPI number is 4/1/2018 and was last updated on 4/1/2018.


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 Practice019.029212ILLINOISYes

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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