REVOLUTION DENTAL NPI 1932671708

NPI Information

NPI: 1932671708
Provider Name: REVOLUTION DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
113 E SCHAUMBURG RD
SCHAUMBURG, IL
ZIP 60194
Phone: (847) 301-1818
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REVOLUTION DENTAL is a dental clinic center in Schaumburg, IL. REVOLUTION DENTAL NPI is 1932671708. The provider is registered as an organization entity type.

The provider's business location address is:

113 E SCHAUMBURG RD
SCHAUMBURG, IL
ZIP 60194-518
Phone: (847) 301-1818

The provider's authorized official is Carl Alexander-mutter Leonard .
The authorized official title is Owner and has the following contact phone number (312) 498-6160.

The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.

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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