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HALCYON DENTAL PLLC NPI 1770294993


NPI Information

NPI: 1770294993
Provider Name: HALCYON DENTAL PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
769 N HEARTLAND DR STE C
SUGAR GROVE, IL
ZIP 60554
Phone: (331) 444-1185
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HALCYON DENTAL PLLC is a dental clinic center in Sugar Grove, IL. HALCYON DENTAL PLLC NPI is 1770294993. The provider is registered as an organization entity type.

The provider's business location address is:

769 N HEARTLAND DR STE C
SUGAR GROVE, IL
ZIP 60554-347
Phone: (331) 444-1185
Fax: (630) 466-7405

The provider's authorized official is Joseph Kim .
The authorized official title is Managing Member and has the following contact phone number (331) 444-1185.

The enumeration date for this NPI number is 12/8/2022 and was last updated on 12/8/2022.


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: 5/5/2024

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