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KENDALL FAMILY DENTAL NPI 1699036624


NPI Information

NPI: 1699036624
Provider Name: KENDALL FAMILY DENTAL

Doing Business As: WORTH PALOS DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7630 W 111TH ST
PALOS HILLS, IL
ZIP 60465
Phone: (708) 974-1319
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KENDALL FAMILY DENTAL is a general practice dentist in Palos Hills, 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. KENDALL FAMILY DENTAL NPI is 1699036624. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Worth Palos Dentistry.

The provider's business location address is:

7630 W 111TH ST
PALOS HILLS, IL
ZIP 60465-302
Phone: (708) 974-1319
Fax: (708) 974-1671

The provider's authorized official is Steven D Wasowicz .
The authorized official title is President/ Dentist and has the following contact phone number (708) 974-1319.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.


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 Practice019023137ILLINOISYes

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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