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WEST AURORA FAMILY DENTAL LLC NPI 1295254589


NPI Information

NPI: 1295254589
Provider Name: WEST AURORA FAMILY DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 14D2201780

Address:
1940 W GALENA BLVD STE 7
AURORA, IL
ZIP 60506
Phone: (630) 339-3172
Get Directions

WEST AURORA FAMILY DENTAL LLC is a general practice dentist in Aurora, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WEST AURORA FAMILY DENTAL LLC NPI is 1295254589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1940 W GALENA BLVD STE 7
AURORA, IL
ZIP 60506-482
Phone: (630) 339-3172

The provider's authorized official is Alan J Acierno .
The authorized official title is Manager and has the following contact phone number (630) 339-3172.

The CLIA number assigned to this NPI record is 14D2201780 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 9/18/2017.


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
11223G0001XDentistGeneral Practice019031185ILLINOISYes
21223G0001XDentistGeneral Practice019026827ILLINOISNo
31223G0001XDentistGeneral Practice019025570ILLINOISNo
41223G0001XDentistGeneral Practice019029852ILLINOISNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.