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LUDFORD DENTAL P.C. NPI 1831485929


NPI Information

NPI: 1831485929
Provider Name: LUDFORD DENTAL, P.C.

Doing Business As: RT. 14 DENTISTRY & DENTAL SPECIALISTS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6315 NORTHWEST HWY
SUITE A
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-3368
Get Directions

LUDFORD DENTAL, P.C. is a general practice dentist in Crystal Lake, 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. LUDFORD DENTAL, P.C. NPI is 1831485929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rt. 14 Dentistry & Dental Specialists.

The provider's business location address is:

6315 NORTHWEST HWY
SUITE A
CRYSTAL LAKE, IL
ZIP 60014-939
Phone: (815) 455-3368
Fax: (815) 455-3306

The provider's authorized official is C. J. Ludford .
The authorized official title is Dentist and has the following contact phone number (815) 455-3368.

The enumeration date for this NPI number is 6/27/2011 and was last updated on 6/27/2011.


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 Practice019-016700ILLINOISYes

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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