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RIDGE DENTAL GROUP LTD NPI 1710196191


NPI Information

NPI: 1710196191
Provider Name: RIDGE DENTAL GROUP, LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2003 RIDGE ROAD
MINOOKA, IL
ZIP 60447
Phone: (815) 521-4292
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RIDGE DENTAL GROUP, LTD is a general practice dentist in Minooka, 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. RIDGE DENTAL GROUP, LTD NPI is 1710196191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2003 RIDGE ROAD
MINOOKA, IL
ZIP 60447
Phone: (815) 521-4292

The provider's authorized official is Matthew J Faith .
The authorized official title is Owner and has the following contact phone number (815) 521-4292.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 12/15/2008.


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 Practice019024522ILLINOISYes

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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