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WOODGROVE FAMILY DENTAL PC NPI 1720432354


NPI Information

NPI: 1720432354
Provider Name: WOODGROVE FAMILY DENTAL PC

Doing Business As: WOODGROVE FAMILY DENTISTS

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1001 W 75TH STREET
SUITE 165
WOODRIDGE, IL
ZIP 60517
Phone: (630) 869-0869
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WOODGROVE FAMILY DENTAL PC is a point of service in Woodridge, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. WOODGROVE FAMILY DENTAL PC NPI is 1720432354. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodgrove Family Dentists.

The provider's business location address is:

1001 W 75TH STREET
SUITE 165
WOODRIDGE, IL
ZIP 60517-655
Phone: (630) 869-0869
Fax: (630) 869-0860

The provider's authorized official is Neelam Aloor .
The authorized official title is President/owner and has the following contact phone number (630) 869-0869.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 4/20/2016.


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
1305S00000XPoint of Service019.028475ILLINOISYes

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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