LUMINA DENTAL LLC NPI 1730923764

NPI Information

  • NPI: 1730923764
  • Provider Name: LUMINA DENTAL LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1424 S BUTTERFIELD RD
    MUNDELEIN, IL
    ZIP 60060
  • Phone: (847) 407-1411

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NPI Details

LUMINA DENTAL LLC is a dental clinic center in Mundelein, IL. LUMINA DENTAL LLC NPI is 1730923764. The provider is registered as an organization entity type.

The provider's business location address is:

1424 S BUTTERFIELD RD
MUNDELEIN, IL
ZIP 60060-424
Phone: (847) 407-1411
Fax: (847) 407-1412

The provider's authorized official is Pratik Patel .
The authorized official title is Proprietor and has the following contact phone number (214) 606-3029.

The enumeration date for this NPI number is 6/24/2024 and was last updated on 6/26/2024.

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
1261QD0000XClinic/CenterDentalYes

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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