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BROOKFOREST DENTAL GROUP P.C. NPI 1194903591


NPI Information

NPI: 1194903591
Provider Name: BROOKFOREST DENTAL GROUP, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
850 BROOKFOREST DR
SUITE D
SHOREWOOD, IL
ZIP 60431
Phone: (815) 741-9697
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BROOKFOREST DENTAL GROUP, P.C. is a general practice dentist in Shorewood, 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. BROOKFOREST DENTAL GROUP, P.C. NPI is 1194903591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 BROOKFOREST DR
SUITE D
SHOREWOOD, IL
ZIP 60431-513
Phone: (815) 741-9697
Fax: (815) 741-9526

The provider's authorized official is Yosif Jabir .
The authorized official title is Dentist/vice-president and has the following contact phone number (815) 741-9697.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 2/7/2008.


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
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: 5/5/2024

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