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ELMHURST DENTAL GROUP LTD. DBA ST. CHARLES DENTAL NPI 1891028452


NPI Information

NPI: 1891028452
Provider Name: ELMHURST DENTAL GROUP, LTD. DBA ST. CHARLES DENTAL

Doing Business As: ST. CHARLES DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2455 DEAN ST
UNIT E
ST CHARLES, IL
ZIP 60175
Phone: (630) 377-7760
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ELMHURST DENTAL GROUP, LTD. DBA ST. CHARLES DENTAL is a general practice dentist in St Charles, 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. ELMHURST DENTAL GROUP, LTD. DBA ST. CHARLES DENTAL NPI is 1891028452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Charles Dental.

The provider's business location address is:

2455 DEAN ST
UNIT E
ST CHARLES, IL
ZIP 60175-830
Phone: (630) 377-7760
Fax: (630) 377-7785

The provider's authorized official is Lawrence P Groh .
The authorized official title is Owner and has the following contact phone number (630) 833-5110.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 9/15/2009.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223G0001XDentistGeneral PracticeYes

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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