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ARTISAN DENTAL GROUP OF ILLINOIS LLC NPI 1619412087


NPI Information

NPI: 1619412087
Provider Name: ARTISAN DENTAL GROUP OF ILLINOIS LLC

Other Name: ARTISAN DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
649 N 1ST BANK DR
PALATINE, IL
ZIP 60067
Phone: (847) 934-4200
Get Directions

ARTISAN DENTAL GROUP OF ILLINOIS LLC is a general practice dentist in Palatine, 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. ARTISAN DENTAL GROUP OF ILLINOIS LLC NPI is 1619412087. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Artisan Dental Group.

The provider's business location address is:

649 N 1ST BANK DR
PALATINE, IL
ZIP 60067-111
Phone: (847) 934-4200
Fax: (847) 934-4294

The provider's authorized official is Donna Maddalozzo .
The authorized official title is President/co-owner and has the following contact phone number (847) 934-4280.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.


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 Practice019019961ILLINOISNo
21223G0001XDentistGeneral Practice019019847ILLINOISYes
31223G0001XDentistGeneral Practice019021223ILLINOISNo
41223P0300XDentistPeriodontics021001430ILLINOISNo
51223P0300XDentistPeriodontics021001354ILLINOISNo
61223P0300XDentistPeriodontics021001510ILLINOISNo

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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