KING DENTAL PC NPI 1558993758

NPI Information

NPI: 1558993758
Provider Name: KING DENTAL, PC

Former Legal Business Name: KING DENTAL, PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3425 S KING DR
CHICAGO, IL
ZIP 60616
Phone: (312) 313-9777
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KING DENTAL, PC is a dental clinic center in Chicago, IL. KING DENTAL, PC NPI is 1558993758. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is King Dental, Pc.

The provider's business location address is:

3425 S KING DR
CHICAGO, IL
ZIP 60616
Phone: (312) 313-9777
Fax: (312) 736-0867

The provider's authorized official is Nishu Sharma .
The authorized official title is Dentist and has the following contact phone number (312) 313-9777.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 10/13/2020.

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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