Provider Type Icon

STONY ISLAND DENTAL PC NPI 1427527365


NPI Information

NPI: 1427527365
Provider Name: STONY ISLAND DENTAL PC
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 14D2014073

Address:
1600 E 93RD STREET
CHICAGO, IL
ZIP 60617
Phone: (708) 351-4582
Get Directions

STONY ISLAND DENTAL PC is a dentist in Chicago, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. STONY ISLAND DENTAL PC NPI is 1427527365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 E 93RD STREET
CHICAGO, IL
ZIP 60617
Phone: (708) 351-4582

The provider's authorized official is Yaqin Dawoud .
The authorized official title is Dds/owner and has the following contact phone number (708) 351-4562.

The CLIA number assigned to this NPI record is 14D2014073 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2018 and was last updated on 11/21/2018.


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
1122300000XDentistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.