CITY AND COUNTY DENTAL PC NPI 1780102095

NPI Information

NPI: 1780102095
Provider Name: CITY AND COUNTY DENTAL, PC

Doing Business As: CITY AND COUNTY DENTAL

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

Specialization: Dental

Address:
7108 W ARCHER AVE
CHICAGO, IL
ZIP 60638
Phone: (773) 424-6401
Get Directions

CITY AND COUNTY DENTAL, PC is a dental clinic center in Chicago, IL. CITY AND COUNTY DENTAL, PC NPI is 1780102095. The provider is registered as an organization entity type.
The provider Is Doing Business As City And County Dental.

The provider's business location address is:

7108 W ARCHER AVE
CHICAGO, IL
ZIP 60638-204
Phone: (773) 424-6401
Fax: (888) 389-5750

The provider's authorized official is Liborio Padula .
The authorized official title is Director and has the following contact phone number (773) 424-6401.

The enumeration date for this NPI number is 9/7/2017 and was last updated on 6/16/2018.

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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