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GENTLE DENTAL CENTER NPI 1790152197


NPI Information

NPI: 1790152197
Provider Name: GENTLE DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2917 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 476-8217
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GENTLE DENTAL CENTER is a dental clinic center in Chicago, IL. GENTLE DENTAL CENTER NPI is 1790152197. The provider is registered as an organization entity type.

The provider's business location address is:

2917 W 63RD ST
CHICAGO, IL
ZIP 60629-729
Phone: (773) 476-8217
Fax: (773) 476-8251

The provider's authorized official is Marilys Valcourt Ewa .
The authorized official title is President and has the following contact phone number (708) 307-8844.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 9/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental019022941ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.