OTTAWA CHILDREN'S DENTISTRY LLC NPI 1235592049

NPI Information

NPI: 1235592049
Provider Name: OTTAWA CHILDREN'S DENTISTRY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1704 POLARIS CIR
OTTAWA, IL
ZIP 61350
Phone: (815) 434-6447
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OTTAWA CHILDREN'S DENTISTRY, LLC is a dental clinic center in Ottawa, IL. OTTAWA CHILDREN'S DENTISTRY, LLC NPI is 1235592049. The provider is registered as an organization entity type.

The provider's business location address is:

1704 POLARIS CIR
OTTAWA, IL
ZIP 61350-773
Phone: (815) 434-6447
Fax: (815) 434-2828

The provider's authorized official is Bobbi J. Laun .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (815) 434-6447.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

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	021.002684	ILLINOIS	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

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