ELGIN DENTAL PROFILE LTD. NPI 1932370111

NPI Information

  • NPI: 1932370111
  • Provider Name: ELGIN DENTAL PROFILE LTD.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 373 SUMMIT ST
    STE 108
    ELGIN, IL
    ZIP 60120
  • Phone: (847) 888-9000

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NPI Details

ELGIN DENTAL PROFILE LTD. is a general practice dentist in Elgin, 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. ELGIN DENTAL PROFILE LTD. NPI is 1932370111. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

373 SUMMIT ST
STE 108
ELGIN, IL
ZIP 60120-733
Phone: (847) 888-9000
Fax: (847) 888-9321

The provider's authorized official is Milan Roncevic .
The authorized official title is General Manager and has the following contact phone number (630) 516-0000.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.

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 PracticeILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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