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DDS SPECIALTY CARE LLC NPI 1962729913


NPI Information

NPI: 1962729913
Provider Name: DDS SPECIALTY CARE LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1061 S ROSELLE RD
SCHAUMBURG, IL
ZIP 60193
Phone: (847) 301-0400
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DDS SPECIALTY CARE LLC is an oral and maxillofacial surgery dentist in Schaumburg, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DDS SPECIALTY CARE LLC NPI is 1962729913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1061 S ROSELLE RD
SCHAUMBURG, IL
ZIP 60193-960
Phone: (847) 301-0400
Fax: (847) 301-7576

The provider's authorized official is Glenn H Shulkin .
The authorized official title is President and has the following contact phone number (847) 301-0400.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 4/30/2010.


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
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
41223S0112XDentistOral and Maxillofacial SurgeryYes

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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