BK DENTAL NPI 1093350621

NPI Information

NPI: 1093350621
Provider Name: BK DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
724 N BRINTON AVE
DIXON, IL
ZIP 61021
Phone: (815) 288-4731
Get Directions

BK DENTAL is a dental clinic center in Dixon, IL. BK DENTAL NPI is 1093350621. The provider is registered as an organization entity type.

The provider's business location address is:

724 N BRINTON AVE
DIXON, IL
ZIP 61021-610
Phone: (815) 288-4731

The provider's authorized official is Kellie Black .
The authorized official title is Regional Manager and has the following contact phone number (517) 812-9931.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 11/6/2019.

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			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: 5/5/2024

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 »