LUIS GRANADOS DDS PC NPI 1205526035

NPI Information

NPI: 1205526035
Provider Name: LUIS GRANADOS DDS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1660 GLEN ELLYN RD
GLENDALE HEIGHTS, IL
ZIP 60139
Phone: (630) 474-0976
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LUIS GRANADOS DDS PC is a dental clinic center in Glendale Heights, IL. LUIS GRANADOS DDS PC NPI is 1205526035. The provider is registered as an organization entity type.

The provider's business location address is:

1660 GLEN ELLYN RD
GLENDALE HEIGHTS, IL
ZIP 60139-504
Phone: (630) 474-0976

The provider's authorized official is Luis Granados Paucar .
The authorized official title is President and has the following contact phone number (860) 357-8486.

The enumeration date for this NPI number is 5/15/2023 and was last updated on 5/15/2023.

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

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