INTERNATIONAL DENTAL CENTER NPI 1659427425

NPI Information

INTERNATIONAL DENTAL CENTER is a point of service in Chicago, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. INTERNATIONAL DENTAL CENTER NPI is 1659427425. The provider is registered as an organization entity type.

The provider's business location address is:

3138 N NARRAGANSETT AVE
CHICAGO, IL
ZIP 60634-919
Phone: (773) 227-1245

The provider's authorized official is Rabeh Salamah-mohammad .
The authorized official title is President and has the following contact phone number (773) 227-1245.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 7/21/2022.

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:

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