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DENTAL BOUTIQUE NPI 1952502221


NPI Information

NPI: 1952502221
Provider Name: DENTAL BOUTIQUE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
20646 ABBEY WOODS COURT NORTH
SUITE 101
FRANKFORT, IL
ZIP 60423
Phone: (815) 806-1451
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DENTAL BOUTIQUE is a general practice dentist in Frankfort, 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. DENTAL BOUTIQUE NPI is 1952502221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20646 ABBEY WOODS COURT NORTH
SUITE 101
FRANKFORT, IL
ZIP 60423-169
Phone: (815) 806-1451
Fax: (815) 806-1454

The provider's authorized official is Eric Edward Klein .
The authorized official title is Owner and has the following contact phone number (815) 806-1451.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeILLINOISYes

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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