Provider Type Icon

PLAINFIELD FAMILY DENTAL CENTER NPI 1861607798


NPI Information

NPI: 1861607798
Provider Name: PLAINFIELD FAMILY DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
24204 W LOCKPORT ST
PLAINFIELD, IL
ZIP 60544
Phone: (815) 436-1000
Get Directions

PLAINFIELD FAMILY DENTAL CENTER is a general practice dentist in Plainfield, 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. PLAINFIELD FAMILY DENTAL CENTER NPI is 1861607798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24204 W LOCKPORT ST
PLAINFIELD, IL
ZIP 60544-902
Phone: (815) 436-1000
Fax: (815) 436-1464

The provider's authorized official is Peter J. Pullara .
The authorized official title is Owner and has the following contact phone number (815) 436-1000.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/20/2012.


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 Practice019021493ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.