SAM MUDRIK DDS LTD NPI 1679014062

NPI Information

  • NPI: 1679014062
  • Provider Name: SAM MUDRIK DDS LTD
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 317 W DUNDEE RD
    BUFFALO GROVE, IL
    ZIP 60089
  • Phone: (847) 520-3020

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NPI Details

SAM MUDRIK DDS LTD is a dental clinic center in Buffalo Grove, IL. SAM MUDRIK DDS LTD NPI is 1679014062. The provider is registered as an organization entity type.

The provider's business location address is:

317 W DUNDEE RD
BUFFALO GROVE, IL
ZIP 60089-545
Phone: (847) 520-3020
Fax: (847) 520-7564

The provider's authorized official is Teresa Sanchez .
The authorized official title is Front Desk Coordinator and has the following contact phone number (847) 520-3020.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 3/17/2017.

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
1261QD0000XClinic/CenterDental019.026125ILLINOISYes

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: 11/21/2025

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