PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS LLC NPI 1790432219

NPI Information

NPI: 1790432219
Provider Name: PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2300 LEHIGH AVE STE 210
GLENVIEW, IL
ZIP 60026
Phone: (630) 627-3930
Get Directions

PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC is a periodontics dentist in Glenview, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC NPI is 1790432219. The provider is registered as an organization entity type.

The provider's business location address is:

2300 LEHIGH AVE STE 210
GLENVIEW, IL
ZIP 60026-691
Phone: (630) 627-3930

The provider's authorized official is Molly Walsh .
The authorized official title is Practice Operations Director and has the following contact phone number (630) 627-3930.

The enumeration date for this NPI number is 3/4/2022 and was last updated on 3/4/2022.

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	1223P0300X	Dentist	Periodontics			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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