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SUMMERSET DENTAL CARE NPI 1407905169


NPI Information

NPI: 1407905169
Provider Name: SUMMERSET DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3612 LINCOLN HWY
SUITE 18
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 747-1430
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SUMMERSET DENTAL CARE is a general practice dentist in Olympia Fields, 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. SUMMERSET DENTAL CARE NPI is 1407905169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3612 LINCOLN HWY
SUITE 18
OLYMPIA FIELDS, IL
ZIP 60461-627
Phone: (708) 747-1430
Fax: (708) 747-9426

The provider's authorized official is Agarwal K Agarwal .
The authorized official title is Owner and has the following contact phone number (708) 747-1430.

The enumeration date for this NPI number is 1/10/2007 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
11223G0001XDentistGeneral PracticeILLINOISYes

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: 5/5/2024

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