ADVANCED TOTAL DENTAL CARE NPI 1558545830

NPI Information

  • NPI: 1558545830
  • Provider Name: ADVANCED TOTAL DENTAL CARE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1873 WAUKEGAN RD
    GLENVIEW, IL
    ZIP 60025
  • Phone: (847) 729-2875

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NPI Details

ADVANCED TOTAL DENTAL CARE is a dental clinic center in Glenview, IL. ADVANCED TOTAL DENTAL CARE NPI is 1558545830. The provider is registered as an organization entity type.

The provider's business location address is:

1873 WAUKEGAN RD
GLENVIEW, IL
ZIP 60025-158
Phone: (847) 729-2875
Fax: (847) 724-0157

The provider's authorized official is Seo Ku Lee .
The authorized official title is President and has the following contact phone number (847) 729-2875.

The enumeration date for this NPI number is 12/22/2007 and was last updated on 12/22/2007.

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
1261QD0000XClinic/CenterDentalILLINOISYes

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: 11/21/2025

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