GARDENIA DENTAL II LLC NPI 1144658691

NPI Information

NPI: 1144658691
Provider Name: GARDENIA DENTAL II LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5352 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 353-5047
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GARDENIA DENTAL II LLC is a dental clinic center in Chicago, IL. GARDENIA DENTAL II LLC NPI is 1144658691. The provider is registered as an organization entity type.

The provider's business location address is:

5352 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-316
Phone: (773) 353-5047
Fax: (773) 303-6344

The provider's authorized official is Mohammad Khamis .
The authorized official title is Manager and has the following contact phone number (773) 353-5047.

The enumeration date for this NPI number is 10/18/2013 and was last updated on 10/18/2013.

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
1	261QD0000X	Clinic/Center	Dental		ILLINOIS	Yes

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

NPI Synchronization or Removal

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