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DENTAL MAGIC OF NILES NPI 1417215484


NPI Information

NPI: 1417215484
Provider Name: DENTAL MAGIC OF NILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5622 W TOUHY AVE
NILES, IL
ZIP 60714
Phone: (773) 360-1281
Get Directions

DENTAL MAGIC OF NILES is a general practice dentist in Niles, 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. DENTAL MAGIC OF NILES NPI is 1417215484. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5622 W TOUHY AVE
NILES, IL
ZIP 60714-001
Phone: (773) 360-1281
Fax: (773) 360-1285

The provider's authorized official is Hicham K Riba .
The authorized official title is Owner and has the following contact phone number (773) 360-1281.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 4/27/2012.


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 Practice019024373ILLINOISYes

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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