DENTAL CARE CENTER JUSTICE LLC NPI 1578160990

NPI Information

NPI: 1578160990
Provider Name: DENTAL CARE CENTER JUSTICE LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8021 W 79TH ST
JUSTICE, IL
ZIP 60458
Phone: (224) 366-0406
Get Directions

DENTAL CARE CENTER JUSTICE LLC is a general practice dentist in Justice, 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. DENTAL CARE CENTER JUSTICE LLC NPI is 1578160990. The provider is registered as an organization entity type.

The provider's business location address is:

8021 W 79TH ST
JUSTICE, IL
ZIP 60458-607
Phone: (224) 366-0406

The provider's authorized official is Syed Rehman .
The authorized official title is Owner and has the following contact phone number (224) 366-0406.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 11/29/2021.

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			No
2	1223G0001X	Dentist	General Practice			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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