OLD TOWN DENTAL ASSOCIATES LTD NPI 1801859137

NPI Information

  • NPI: 1801859137
  • Provider Name: OLD TOWN DENTAL ASSOCIATES LTD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1397 MAIN ST
    CRETE, IL
    ZIP 60417
  • Phone: (708) 672-5353

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NPI Details

OLD TOWN DENTAL ASSOCIATES LTD is a general practice dentist in Crete, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. OLD TOWN DENTAL ASSOCIATES LTD NPI is 1801859137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1397 MAIN ST
CRETE, IL
ZIP 60417-951
Phone: (708) 672-5353

The provider's authorized official is Angela R. Bammann .
The authorized official title is Pres and has the following contact phone number (708) 672-5353.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral PracticeILLINOISYes

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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