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GRAND DENTAL ASSOCIATES P.C. NPI 1356790547


NPI Information

NPI: 1356790547
Provider Name: GRAND DENTAL ASSOCIATES, P.C.

Doing Business As: GRAND DENTAL - LAKE ZURICH

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
66 S OLD RAND RD
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 438-8136
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GRAND DENTAL ASSOCIATES, P.C. is a general practice dentist in Lake Zurich, 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. GRAND DENTAL ASSOCIATES, P.C. NPI is 1356790547. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Grand Dental - Lake Zurich.

The provider's business location address is:

66 S OLD RAND RD
LAKE ZURICH, IL
ZIP 60047-301
Phone: (847) 438-8136
Fax: (847) 438-8155

The provider's authorized official is Steve Napier .
The authorized official title is Owner/dentist and has the following contact phone number (630) 585-9333.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/16/2016.


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
11223P0300XDentistPeriodonticsNo
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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