MOLAR CITY P.C. NPI 1730647744

NPI Information

NPI: 1730647744
Provider Name: MOLAR CITY, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 14D2214059

Address:
4620 N WESTERN AVE
CHICAGO, IL
ZIP 60625
Phone: (708) 552-0275
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MOLAR CITY, P.C. is a dental clinic center in Chicago, IL. MOLAR CITY, P.C. NPI is 1730647744. The provider is registered as an organization entity type.

The provider's business location address is:

4620 N WESTERN AVE
CHICAGO, IL
ZIP 60625
Phone: (708) 552-0275

The provider's authorized official is Kevin Garson Ng .
The authorized official title is President and has the following contact phone number (646) 387-8715.

The CLIA number assigned to this NPI record is 14D2214059 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 3/15/2019.

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			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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