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ELMHURST DENTAL GROUP LTD DBA BLOOMINGDALE DENTAL NPI 1871826438


NPI Information

NPI: 1871826438
Provider Name: ELMHURST DENTAL GROUP, LTD DBA BLOOMINGDALE DENTAL

Doing Business As: BLOOMINGDALE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
290 SPRINGFIELD DR
SUITE 100
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 529-0027
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ELMHURST DENTAL GROUP, LTD DBA BLOOMINGDALE DENTAL is a general practice dentist in Bloomingdale, 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. ELMHURST DENTAL GROUP, LTD DBA BLOOMINGDALE DENTAL NPI is 1871826438. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bloomingdale Dental.

The provider's business location address is:

290 SPRINGFIELD DR
SUITE 100
BLOOMINGDALE, IL
ZIP 60108-214
Phone: (630) 529-0027
Fax: (630) 529-0068

The provider's authorized official is Lawrence P Groh .
The authorized official title is Owner and has the following contact phone number (630) 833-5110.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 9/17/2009.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223G0001XDentistGeneral PracticeYes

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

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