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PULLARA FAMILY DENTAL CENTER NPI 1821201575


NPI Information

NPI: 1821201575
Provider Name: PULLARA FAMILY DENTAL CENTER

Doing Business As: PLAINFIELD FAMILY DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
595 N BROADWAY ST
COAL CITY, IL
ZIP 60416
Phone: (815) 634-8009
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PULLARA FAMILY DENTAL CENTER is a general practice dentist in Coal City, 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. PULLARA FAMILY DENTAL CENTER NPI is 1821201575. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Plainfield Family Dental Center.

The provider's business location address is:

595 N BROADWAY ST
COAL CITY, IL
ZIP 60416-046
Phone: (815) 634-8009
Fax: (815) 634-2008

The provider's authorized official is Peter J. Pullara .
The authorized official title is Owner and has the following contact phone number (815) 634-8009.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.


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 PracticeILLINOISYes

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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