ERIE DENTAL HEALTH CENTER NPI 1235250119

NPI Information

NPI: 1235250119
Provider Name: ERIE DENTAL HEALTH CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4751 N KEDZIE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 279-2947
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ERIE DENTAL HEALTH CENTER is a dental clinic center in Chicago, IL. ERIE DENTAL HEALTH CENTER NPI is 1235250119. The provider is registered as an organization entity type.

The provider's business location address is:

4751 N KEDZIE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 279-2947

The provider's authorized official is Lee Francis .
The authorized official title is MEDICAL DIRECTOR INTERIM CEOCeo and has the following contact phone number (312) 432-7394.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

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			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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