TEAM DENTAL FAMILY DENTISTRY LLC NPI 1184989584

NPI Information

NPI: 1184989584
Provider Name: TEAM DENTAL FAMILY DENTISTRY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
507 E 83RD ST
CHICAGO, IL
ZIP 60619
Phone: (773) 783-8326
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TEAM DENTAL FAMILY DENTISTRY LLC is a dental clinic center in Chicago, IL. TEAM DENTAL FAMILY DENTISTRY LLC NPI is 1184989584. The provider is registered as an organization entity type.

The provider's business location address is:

507 E 83RD ST
CHICAGO, IL
ZIP 60619-002
Phone: (773) 783-8326
Fax: (773) 783-7985

The provider's authorized official is Reginald T Baker .
The authorized official title is Managing Partner and has the following contact phone number (773) 783-8326.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 7/11/2012.

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	019025166	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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