BROSNAN DENTAL LTD NPI 1962581736

NPI Information

NPI: 1962581736
Provider Name: BROSNAN DENTAL LTD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10522 S CICERO AVE
SUITE 204
OAK LAWN, IL
ZIP 60453
Phone: (708) 952-9185
Get Directions

BROSNAN DENTAL LTD is a dental clinic center in Oak Lawn, IL. BROSNAN DENTAL LTD NPI is 1962581736. The provider is registered as an organization entity type.

The provider's business location address is:

10522 S CICERO AVE
SUITE 204
OAK LAWN, IL
ZIP 60453-200
Phone: (708) 952-9185
Fax: (708) 952-9186

The provider's authorized official is James Glen Brosnan .
The authorized official title is President and has the following contact phone number (708) 952-9185.

The enumeration date for this NPI number is 11/3/2006 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
1	261QD0000X	Clinic/Center	Dental	19A12667	ILLINOIS	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »