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NW DENTIQ CENTER P.C NPI 1609134378


NPI Information

NPI: 1609134378
Provider Name: NW DENTIQ CENTER P.C

Doing Business As: ROUND LAKE FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
425 N.WILSON ROAD
ROUND LAKE, IL
ZIP 60073
Phone: (847) 740-0217
Get Directions

NW DENTIQ CENTER P.C is a general practice dentist in Round Lake, 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. NW DENTIQ CENTER P.C NPI is 1609134378. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Round Lake Family Dentistry.

The provider's business location address is:

425 N.WILSON ROAD
ROUND LAKE, IL
ZIP 60073
Phone: (847) 740-0217

The provider's authorized official is Kalpit Shah .
The authorized official title is President and has the following contact phone number (847) 740-0217.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.


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 Practice019028407ILLINOISYes

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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