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GLAMOUR DENTAL CARE PC NPI 1649677717


NPI Information

NPI: 1649677717
Provider Name: GLAMOUR DENTAL CARE, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6825 W ADDISON ST
CHICAGO, IL
ZIP 60634
Phone: (773) 736-6610
Get Directions

GLAMOUR DENTAL CARE, PC 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. GLAMOUR DENTAL CARE, PC NPI is 1649677717. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6825 W ADDISON ST
CHICAGO, IL
ZIP 60634-702
Phone: (773) 736-6610
Fax: (773) 736-6614

The provider's authorized official is Monika Tyszkowski .
The authorized official title is President and has the following contact phone number (773) 736-6610.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.


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
11223X0400XDentistOrthodontics and Dentofacial Orthopedics019025140ILLINOISNo
21223G0001XDentistGeneral Practice019025140ILLINOISYes

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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