MY DENTAL HOME LLC NPI 1861273047

NPI Information

NPI: 1861273047
Provider Name: MY DENTAL HOME LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1700 RAVINIA PL
ORLAND PARK, IL
ZIP 60462
Phone: (708) 696-1004
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MY DENTAL HOME LLC is a dental clinic center in Orland Park, IL. MY DENTAL HOME LLC NPI is 1861273047. The provider is registered as an organization entity type.

The provider's business location address is:

1700 RAVINIA PL
ORLAND PARK, IL
ZIP 60462-543
Phone: (708) 696-1004
Fax: (708) 696-1045

The provider's authorized official is Bilal Alnahass .
The authorized official title is Owner/manager and has the following contact phone number (331) 201-7077.

The enumeration date for this NPI number is 10/12/2023 and was last updated on 10/12/2023.

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			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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