UNITED DENTAL CENTERS NPI 1417225194

NPI Information

  • NPI: 1417225194
  • Provider Name: UNITED DENTAL CENTERS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: UNITED DENTAL CENTERS, LTD
  • Address: 1204 BALLYBUNION CT
    DYER, IN
    ZIP 46311
  • Phone: (773) 758-0002

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NPI Details

UNITED DENTAL CENTERS is a general practice dentist in Dyer, IN. 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. UNITED DENTAL CENTERS NPI is 1417225194. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is United Dental Centers, Ltd.

The provider's business location address is:

1204 BALLYBUNION CT
DYER, IN
ZIP 46311-268
Phone: (773) 758-0002

The provider's authorized official is Kenneth Michael Fried .
The authorized official title is President and has the following contact phone number (773) 758-0002.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/18/2013.

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 Practice019017190ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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