GENERAL DENTISTS LTD NPI 1871009738

NPI Information

NPI: 1871009738
Provider Name: GENERAL DENTISTS LTD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1718 S ASHLAND AVE
CHICAGO, IL
ZIP 60608
Phone: (312) 421-9500
Get Directions

GENERAL DENTISTS LTD is a dental clinic center in Chicago, IL. GENERAL DENTISTS LTD NPI is 1871009738. The provider is registered as an organization entity type.

The provider's business location address is:

1718 S ASHLAND AVE
CHICAGO, IL
ZIP 60608-015
Phone: (312) 421-9500
Fax: (312) 421-1321

The provider's authorized official is Mohammad Hossein Ranjbari .
The authorized official title is Owner and has the following contact phone number (312) 421-9500.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

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	019022116	ILLINOIS	Yes

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
1	1851500078	MEDICAID	ILLINOIS

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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