STUDIO OF AESTHETIC DENTISTRY NPI 1538360110

NPI Information

NPI: 1538360110
Provider Name: STUDIO OF AESTHETIC DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
937 W RANDOLPH ST
CHICAGO, IL
ZIP 60607
Phone: (312) 491-9494
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STUDIO OF AESTHETIC DENTISTRY is a dental clinic center in Chicago, IL. STUDIO OF AESTHETIC DENTISTRY NPI is 1538360110. The provider is registered as an organization entity type.

The provider's business location address is:

937 W RANDOLPH ST
CHICAGO, IL
ZIP 60607-220
Phone: (312) 491-9494
Fax: (312) 491-9474

The provider's authorized official is Mladen Kralj .
The authorized official title is Owner and has the following contact phone number (312) 491-9494.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

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			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: 11/14/2023

NPI Synchronization or Removal

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