SAUK TRAIL DENTAL CARE NPI 1073108841

NPI Information

NPI: 1073108841
Provider Name: SAUK TRAIL DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4343 SAUK TRL
RICHTON PARK, IL
ZIP 60471
Phone: (708) 608-3368
Get Directions

SAUK TRAIL DENTAL CARE is a general practice dentist in Richton Park, 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. SAUK TRAIL DENTAL CARE NPI is 1073108841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4343 SAUK TRL
RICHTON PARK, IL
ZIP 60471-254
Phone: (708) 608-3368

The provider's authorized official is Lawal Garuba .
The authorized official title is Dentist and has the following contact phone number (708) 608-3368.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 5/25/2021.

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	1223G0001X	Dentist	General Practice			Yes
2	261QD0000X	Clinic/Center	Dental			No

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

NPI Synchronization or Removal

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