PARKVIEW DENTAL CARE NPI 1174883078

NPI Information

NPI: 1174883078
Provider Name: PARKVIEW DENTAL CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4020 N CENTRAL AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 736-1406
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PARKVIEW DENTAL CARE is a dental clinic center in Chicago, IL. PARKVIEW DENTAL CARE NPI is 1174883078. The provider is registered as an organization entity type.

The provider's business location address is:

4020 N CENTRAL AVE
CHICAGO, IL
ZIP 60634-832
Phone: (773) 736-1406
Fax: (773) 736-1487

The provider's authorized official is David E Bertagna .
The authorized official title is Dentist and has the following contact phone number (773) 736-1406.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.

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	019020864	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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