DRS. NELSON AND GARY DENTAL ASSOC. LTA NPI 1467450783

NPI Information

NPI: 1467450783
Provider Name: DRS. NELSON AND GARY DENTAL ASSOC. LTA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1443 W SCHAUMBURG RD
STE 102
SCHAUMBURG, IL
ZIP 60194
Phone: (847) 895-4510
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DRS. NELSON AND GARY DENTAL ASSOC. LTA is a dental clinic center in Schaumburg, IL. DRS. NELSON AND GARY DENTAL ASSOC. LTA NPI is 1467450783. The provider is registered as an organization entity type.

The provider's business location address is:

1443 W SCHAUMBURG RD
STE 102
SCHAUMBURG, IL
ZIP 60194-065
Phone: (847) 895-4510
Fax: (847) 895-8834

The provider's authorized official is Barbara J Nelson .
The authorized official title is Office Manager Corporate Secretary and has the following contact phone number (842) 895-4513.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 8/22/2020.

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		ILLINOIS	No
2	261QD0000X	Clinic/Center	Dental		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

NPI Synchronization or Removal

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