BALTIERRES DENTAL P.C. NPI 1730210154

NPI Information

NPI: 1730210154
Provider Name: BALTIERRES DENTAL P.C.

Other Name: GABRIELA BALTIERRES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 582-7200
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BALTIERRES DENTAL P.C. is a dental clinic center in Chicago, IL. BALTIERRES DENTAL P.C. NPI is 1730210154. The provider is registered as an organization entity type.
The provider Other Name Is Gabriela Baltierres.

The provider's business location address is:

4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632-663
Phone: (773) 582-7200
Fax: (773) 582-4148

The provider's authorized official is Gabriela Baltierres .
The authorized official title is Pres and has the following contact phone number (773) 843-1980.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.

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
1	261QD0000X	Clinic/Center	Dental		ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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