MICHAEL L CONNOLLY DDS NPI 1366969495

NPI Information

NPI: 1366969495
Provider Name: MICHAEL L CONNOLLY DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6019 N CICERO AVE
CHICAGO, IL
ZIP 60646
Phone: (773) 286-9700
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MICHAEL L CONNOLLY DDS is a dental clinic center in Chicago, IL. MICHAEL L CONNOLLY DDS NPI is 1366969495. The provider is registered as an organization entity type.

The provider's business location address is:

6019 N CICERO AVE
CHICAGO, IL
ZIP 60646-301
Phone: (773) 286-9700

The provider's authorized official is Michael L Connolly .
The authorized official title is Owner and has the following contact phone number (773) 286-9700.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	019020342	ILLINOIS	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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