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BLUE ISLAND SMILES PC NPI 1942842810


NPI Information

NPI: 1942842810
Provider Name: BLUE ISLAND SMILES PC

Doing Business As: BLUE ISLAND SMILES FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12059 WESTERN AVENUE
BLUE ISLAND, IL
ZIP 60406
Phone:
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BLUE ISLAND SMILES PC is a general practice dentist in Blue Island, 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. BLUE ISLAND SMILES PC NPI is 1942842810. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Island Smiles Family Dentistry.

The provider's business location address is:

12059 WESTERN AVENUE
BLUE ISLAND, IL
ZIP 60406

The provider's authorized official is Abhishek Nagaraj .
The authorized official title is Owner and has the following contact phone number (708) 371-3844.

The enumeration date for this NPI number is 10/12/2019 and was last updated on 8/24/2020.


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
11223G0001XDentistGeneral 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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