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VICTORIA DENTAL NPI 1699924308


NPI Information

NPI: 1699924308
Provider Name: VICTORIA DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16117 WEBER RD
CREST HILL, IL
ZIP 60403
Phone: (815) 836-3432
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VICTORIA DENTAL is a general practice dentist in Crest Hill, 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. VICTORIA DENTAL NPI is 1699924308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16117 WEBER RD
CREST HILL, IL
ZIP 60403-742
Phone: (815) 836-3432
Fax: (815) 836-3517

The provider's authorized official is Victoria Muzykansky .
The authorized official title is Owner and has the following contact phone number (630) 370-1312.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 9/17/2008.


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 Practice019025723ILLINOISYes

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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