UDAY PHATAK D.D.S. P.C. NPI 1457688897

NPI Information

NPI: 1457688897
Provider Name: UDAY PHATAK D.D.S. P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
642A N MILWAUKEE AVE
PROSPECT HEIGHTS, IL
ZIP 60070
Phone: (847) 541-0008
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UDAY PHATAK D.D.S. P.C. is a dental clinic center in Prospect Heights, IL. UDAY PHATAK D.D.S. P.C. NPI is 1457688897. The provider is registered as an organization entity type.

The provider's business location address is:

642A N MILWAUKEE AVE
PROSPECT HEIGHTS, IL
ZIP 60070-353
Phone: (847) 541-0008
Fax: (847) 541-0009

The provider's authorized official is Uday Phatak .
The authorized official title is President and has the following contact phone number (847) 541-0008.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.

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	019018029	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: 5/5/2024

NPI Synchronization or Removal

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