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NORTHSHORE METROPOLITAN DENTAL ASSOCIATES INC NPI 1427047349


NPI Information

NPI: 1427047349
Provider Name: NORTHSHORE METROPOLITAN DENTAL ASSOCIATES, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4709 GOLF RD
SUITE 804
SKOKIE, IL
ZIP 60076
Phone: (847) 673-6770
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NORTHSHORE METROPOLITAN DENTAL ASSOCIATES, INC is a durable medical equipment medical supplies in Skokie, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHSHORE METROPOLITAN DENTAL ASSOCIATES, INC NPI is 1427047349. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4709 GOLF RD
SUITE 804
SKOKIE, IL
ZIP 60076-231
Phone: (847) 673-6770
Fax: (847) 673-6778

The provider's authorized official is Victor Lau .
The authorized official title is President and has the following contact phone number (847) 673-6770.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 10/2/2019.


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 Practice019025154ILLINOISNo
21223G0001XDentistGeneral Practice019010896ILLINOISNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 4/28/2024

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