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VONGLUEKIAT & CHOI LLC NPI 1578886214


NPI Information

NPI: 1578886214
Provider Name: VONGLUEKIAT & CHOI LLC

Doing Business As: BRIDGEPORT FAMILY DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2959 S WALLACE ST
CHICAGO, IL
ZIP 60616
Phone: (312) 791-0920
Get Directions

VONGLUEKIAT & CHOI LLC is a general practice dentist in Chicago, 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. VONGLUEKIAT & CHOI LLC NPI is 1578886214. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bridgeport Family Dental Center.

The provider's business location address is:

2959 S WALLACE ST
CHICAGO, IL
ZIP 60616-034
Phone: (312) 791-0920

The provider's authorized official is Steven Vongluekiat .
The authorized official title is Owner and has the following contact phone number (312) 791-0920.

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 Practice019027363ILLINOISNo
21223G0001XDentistGeneral Practice019027344ILLINOISYes

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: 4/28/2024

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