SONRISA DENTAL PC ON ARCHER NPI 1891100111

NPI Information

NPI: 1891100111
Provider Name: SONRISA DENTAL PC ON ARCHER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3450 S ARCHER AVE
2ND FLOOR
CHICAGO, IL
ZIP 60608
Phone: (773) 376-1200
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SONRISA DENTAL PC ON ARCHER is a dental clinic center in Chicago, IL. SONRISA DENTAL PC ON ARCHER NPI is 1891100111. The provider is registered as an organization entity type.

The provider's business location address is:

3450 S ARCHER AVE
2ND FLOOR
CHICAGO, IL
ZIP 60608-837
Phone: (773) 376-1200

The provider's authorized official is Mary Lukaszczyk .
The authorized official title is Chief Operating Officer and has the following contact phone number (630) 730-3233.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 6/25/2014.

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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