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LINDENHURST DENTAL HEALTH GROUP NPI 1568550192


NPI Information

NPI: 1568550192
Provider Name: LINDENHURST DENTAL HEALTH GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 14D2262405

Address:
1909 E GRAND AVE
LINDENHURST, IL
ZIP 60046
Phone: (847) 356-0260
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LINDENHURST DENTAL HEALTH GROUP is a general practice dentist in Lindenhurst, 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. LINDENHURST DENTAL HEALTH GROUP NPI is 1568550192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1909 E GRAND AVE
LINDENHURST, IL
ZIP 60046-960
Phone: (847) 356-0260
Fax: (847) 265-0365

The provider's authorized official is James George Hendrickx .
The authorized official title is Co-owner and has the following contact phone number (847) 356-0260.

The CLIA number assigned to this NPI record is 14D2262405 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 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
11223G0001XDentistGeneral PracticeILLINOISYes

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

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