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176 DENTAL ASSOCIATES LTD NPI 1992858674


NPI Information

NPI: 1992858674
Provider Name: 176 DENTAL ASSOCIATES LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
176 S BLOOMINGDALE RD
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-6200
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176 DENTAL ASSOCIATES LTD is a general practice dentist in Bloomingdale, 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. 176 DENTAL ASSOCIATES LTD NPI is 1992858674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 S BLOOMINGDALE RD
BLOOMINGDALE, IL
ZIP 60108-404
Phone: (630) 893-6200
Fax: (630) 893-0474

The provider's authorized official is Joseph Matustik .
The authorized official title is Owner and has the following contact phone number (630) 893-6200.

The enumeration date for this NPI number is 1/18/2007 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 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

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.