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SO-WELL DENTAL ASSOCIATESP.C. NPI 1255503462


NPI Information

NPI: 1255503462
Provider Name: SO-WELL DENTAL ASSOCIATES,P.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1122 N CLARK ST
SUITE 1
CHICAGO, IL
ZIP 60610
Phone: (312) 944-9355
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SO-WELL DENTAL ASSOCIATES,P.C. is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SO-WELL DENTAL ASSOCIATES,P.C. NPI is 1255503462. The provider is registered as an organization entity type.

The provider's business location address is:

1122 N CLARK ST
SUITE 1
CHICAGO, IL
ZIP 60610-857
Phone: (312) 944-9355
Fax: (312) 944-7328

The provider's authorized official is Zenobia L. Sowell .
The authorized official title is President and has the following contact phone number (312) 944-9355.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 3/27/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterILLINOISYes

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

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