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PARK RIDGE PERIODONTICS INC. NPI 1144567595


NPI Information

NPI: 1144567595
Provider Name: PARK RIDGE PERIODONTICS, INC.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
511 W TALCOTT RD
PARK RIDGE, IL
ZIP 60068
Phone: (847) 318-0066
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PARK RIDGE PERIODONTICS, INC. is a periodontics dentist in Park Ridge, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PARK RIDGE PERIODONTICS, INC. NPI is 1144567595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 W TALCOTT RD
PARK RIDGE, IL
ZIP 60068-338
Phone: (847) 318-0066
Fax: (847) 318-9574

The provider's authorized official is Charles Frank Difranco .
The authorized official title is President and has the following contact phone number (847) 318-0066.

The enumeration date for this NPI number is 1/4/2013 and was last updated on 1/4/2013.


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
11223P0300XDentistPeriodontics021.001183ILLINOISYes

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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