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AURORA MODERN DENTAL LLC NPI 1528381399


NPI Information

NPI: 1528381399
Provider Name: AURORA MODERN DENTAL, LLC

Other Name: AURORA MODERN DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
808 N ROUTE 59
AURORA, IL
ZIP 60504
Phone: (630) 692-0500
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AURORA MODERN DENTAL, LLC is a general practice dentist in Aurora, 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. AURORA MODERN DENTAL, LLC NPI is 1528381399. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Aurora Modern Dental.

The provider's business location address is:

808 N ROUTE 59
AURORA, IL
ZIP 60504-912
Phone: (630) 692-0500
Fax: (630) 806-8082

The provider's authorized official is Kianor Shahmohammadi .
The authorized official title is Ceo - Nexus Dentistry and has the following contact phone number (618) 917-5808.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.


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 Practice019027170ILLINOISYes

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: 11/14/2023

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