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ELMHURST DENTAL GROUP LTD NPI 1316312879


NPI Information

NPI: 1316312879
Provider Name: ELMHURST DENTAL GROUP, LTD

Doing Business As: AURORA DENTAL SPECIALISTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 14D2134893

Address:
345 SULLIVAN RD
AURORA, IL
ZIP 60506
Phone: (630) 892-1515
Get Directions

ELMHURST DENTAL GROUP, LTD is an oral and maxillofacial surgery dentist in Aurora, IL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ELMHURST DENTAL GROUP, LTD NPI is 1316312879. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aurora Dental Specialists.

The provider's business location address is:

345 SULLIVAN RD
AURORA, IL
ZIP 60506-465
Phone: (630) 892-1515
Fax: (630) 892-1583

The provider's authorized official is Lawrence Groh .
The authorized official title is Owner/president and has the following contact phone number (630) 833-5110.

The CLIA number assigned to this NPI record is 14D2134893 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.


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
11223S0112XDentistOral and Maxillofacial Surgery019014858ILLINOISYes

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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