MY DENTIST FAMILY LTD. NPI 1780756064

NPI Information

NPI: 1780756064
Provider Name: MY DENTIST FAMILY, LTD.

Former Legal Business Name: ASSOCIATED DENTAL CARE, LTD

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

Specialization: Dental

Address:
76 STRATFORD DR
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 394-9040
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MY DENTIST FAMILY, LTD. is a dental clinic center in Bloomingdale, IL. MY DENTIST FAMILY, LTD. NPI is 1780756064. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Associated Dental Care, Ltd.

The provider's business location address is:

76 STRATFORD DR
BLOOMINGDALE, IL
ZIP 60108-201
Phone: (630) 394-9040
Fax: (630) 894-1148

The provider's authorized official is Adam Christopher Szatkowski .
The authorized official title is President and has the following contact phone number (630) 394-9040.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 5/14/2021.

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	1223G0001X	Dentist	General Practice	019.025840	ILLINOIS	No
2	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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