VALLEY CREEK FAMILY DENTAL LTD NPI 1215450408

NPI Information

  • NPI: 1215450408
  • Provider Name: VALLEY CREEK FAMILY DENTAL LTD
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 11244 W LAPORTE RD
    MOKENA, IL
    ZIP 60448
  • Phone: (708) 479-2203

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NPI Details

VALLEY CREEK FAMILY DENTAL LTD is a dental clinic center in Mokena, IL. VALLEY CREEK FAMILY DENTAL LTD NPI is 1215450408. The provider is registered as an organization entity type.

The provider's business location address is:

11244 W LAPORTE RD
MOKENA, IL
ZIP 60448
Phone: (708) 479-2203
Fax: (708) 479-2412

The provider's authorized official is Patrick Michael Mitsos .
The authorized official title is President and has the following contact phone number (708) 954-7396.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 3/17/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental019029811ILLINOISYes

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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