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DBA SIMPLY TEETH NPI 1912354531


NPI Information

NPI: 1912354531
Provider Name: DBA SIMPLY TEETH
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
905 E RAND RD
SUITE 200
MT PROSPECT, IL
ZIP 60056
Phone: (847) 870-1111
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DBA SIMPLY TEETH is a general practice dentist in Mt Prospect, 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. DBA SIMPLY TEETH NPI is 1912354531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 E RAND RD
SUITE 200
MT PROSPECT, IL
ZIP 60056-570
Phone: (847) 870-1111
Fax: (847) 749-4789

The provider's authorized official is Dhaval M Patel .
The authorized official title is Dentist and has the following contact phone number (847) 870-1111.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.


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 Practice019029406ILLINOISYes

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: 5/5/2024

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