NILES DENTAL CARE P.C. NPI 1780127480

NPI Information

  • NPI: 1780127480
  • Provider Name: NILES DENTAL CARE P.C.
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Former Legal Business Name: NILES DENTAL CARE P.C.
  • Address: 8031 N MILWAUKEE AVE
    NILES, IL
    ZIP 60714
  • Phone: (847) 470-0240

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NPI Details

NILES DENTAL CARE P.C. is a dentist in Niles, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NILES DENTAL CARE P.C. NPI is 1780127480. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Niles Dental Care P.c..

The provider's business location address is:

8031 N MILWAUKEE AVE
NILES, IL
ZIP 60714-827
Phone: (847) 470-0240

The provider's authorized official is Robert Arthur Sandusky .
The authorized official title is President and has the following contact phone number (847) 470-0240.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 11/29/2016.

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
1124Q00000XDental HygienistILLINOISNo
2122300000XDentistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11205056413MEDICAIDILLINOIS

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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