PARK RIDGE COMPLETE DENTAL PLLC NPI 1184538498

NPI Information

  • NPI: 1184538498
  • Provider Name: PARK RIDGE COMPLETE DENTAL PLLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • :
  • Address: 912 BUSSE HWY
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (929) 655-9974

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NPI Details

PARK RIDGE COMPLETE DENTAL PLLC is a periodontics dentist in Park Ridge, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PARK RIDGE COMPLETE DENTAL PLLC NPI is 1184538498. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

912 BUSSE HWY
PARK RIDGE, IL
ZIP 60068-304
Phone: (929) 655-9974

The provider's authorized official is Ibrahim Shuaib .
The authorized official title is Dds, Periodontist and has the following contact phone number (929) 655-9974.

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/1/2026.

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
1122300000XDentistNo
21223P0300XDentistPeriodonticsYes

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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