DEER PARK DENTAL LTD NPI 1700101326

NPI Information

  • NPI: 1700101326
  • Provider Name: DEER PARK DENTAL LTD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 21660 W. FIELD PARKWAY
    DEER PARK, IL
    ZIP 60010
  • Phone: (847) 438-9669

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NPI Details

DEER PARK DENTAL LTD is a general practice dentist in Deer Park, 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. DEER PARK DENTAL LTD NPI is 1700101326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21660 W. FIELD PARKWAY
DEER PARK, IL
ZIP 60010
Phone: (847) 438-9669
Fax: (847) 438-9660

The provider's authorized official is Bruce Privatsky .
The authorized official title is Owner and has the following contact phone number (847) 438-9669.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 4/7/2010.

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 Practice019021596ILLINOISYes

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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