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MT. PROSPECT DENTAL EXCELLENCE LTD NPI 1952452047


NPI Information

NPI: 1952452047
Provider Name: MT. PROSPECT DENTAL EXCELLENCE, LTD
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1640 N. ARLINGTON HEIGHTS RD.
SUITE 201
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 259-1111
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MT. PROSPECT DENTAL EXCELLENCE, LTD is a clinic center in Arlington Heights, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MT. PROSPECT DENTAL EXCELLENCE, LTD NPI is 1952452047. The provider is registered as an organization entity type.

The provider's business location address is:

1640 N. ARLINGTON HEIGHTS RD.
SUITE 201
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 259-1111
Fax: (847) 259-2222

The provider's authorized official is John E. Costello .
The authorized official title is Dentist/owner and has the following contact phone number (847) 259-1111.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 9/9/2015.


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
1261Q00000XClinic/Center19A12900ILLINOISYes

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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