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EAST VILLAGE DENTAL CENTRE NPI 1578955738


NPI Information

NPI: 1578955738
Provider Name: EAST VILLAGE DENTAL CENTRE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
901 N ASHLAND AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 278-6622
Get Directions

EAST VILLAGE DENTAL CENTRE 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. EAST VILLAGE DENTAL CENTRE NPI is 1578955738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 N ASHLAND AVE
CHICAGO, IL
ZIP 60622-111
Phone: (773) 278-6622
Fax: (888) 425-2271

The provider's authorized official is Rui J. Barreto .
The authorized official title is Insurance Coordinator and has the following contact phone number (773) 278-6622.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 2/25/2015.


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 Practice019016514ILLINOISYes

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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