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RANDY HALIHAN FAMILY DENTISTRY NPI 1558768879


NPI Information

NPI: 1558768879
Provider Name: RANDY HALIHAN FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
149 N VIRGINIA ST
SUITE 100
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 444-6444
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RANDY HALIHAN FAMILY DENTISTRY is a general practice dentist in Crystal Lake, 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. RANDY HALIHAN FAMILY DENTISTRY NPI is 1558768879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

149 N VIRGINIA ST
SUITE 100
CRYSTAL LAKE, IL
ZIP 60014-400
Phone: (815) 444-6444
Fax: (815) 444-6446

The provider's authorized official is Randy J Halihan .
The authorized official title is Dentist/owner and has the following contact phone number (815) 444-6444.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 12/2/2014.


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 Practice019024027ILLINOISYes

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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