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CENTRAL AMAZING DENTAL LLC NPI 1184288151


NPI Information

NPI: 1184288151
Provider Name: CENTRAL AMAZING DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5501 W 79TH ST STE 201
BURBANK, IL
ZIP 60459
Phone: (708) 424-5901
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CENTRAL AMAZING DENTAL LLC is a general practice dentist in Burbank, 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. CENTRAL AMAZING DENTAL LLC NPI is 1184288151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5501 W 79TH ST STE 201
BURBANK, IL
ZIP 60459-796
Phone: (708) 424-5901
Fax: (708) 424-5901

The provider's authorized official is Ahmed Ramaha .
The authorized official title is Owner and has the following contact phone number (708) 394-5100.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 8/9/2019.


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
1122300000XDentistNo
21223G0001XDentistGeneral 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: 5/5/2024

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