ANDREA N. SIDLE DDS PC NPI 1811501570

NPI Information

NPI: 1811501570
Provider Name: ANDREA N. SIDLE DDS PC

Doing Business As: CROWN JEWEL DENTAL LOFT

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

Specialization: Dental

Address:
840 W IRVING PARK RD STE 407
CHICAGO, IL
ZIP 60613
Phone: (773) 248-8581
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ANDREA N. SIDLE DDS PC is a dental clinic center in Chicago, IL. ANDREA N. SIDLE DDS PC NPI is 1811501570. The provider is registered as an organization entity type.
The provider Is Doing Business As Crown Jewel Dental Loft.

The provider's business location address is:

840 W IRVING PARK RD STE 407
CHICAGO, IL
ZIP 60613-011
Phone: (773) 248-8581

The provider's authorized official is Andrea Sidle .
The authorized official title is Dds and has the following contact phone number (816) 215-2904.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 8/9/2021.

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	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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