ADVANCED DENTAL GROUP LLC NPI 1497949044

NPI Information

NPI: 1497949044
Provider Name: ADVANCED DENTAL GROUP LLC

Doing Business As: ADVANCED DENTAL CONCEPTS OF WINFIELD

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10780 RANDOLPH ST
CROWN POINT, IN
ZIP 46307
Phone: (219) 663-6579
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ADVANCED DENTAL GROUP LLC is a dental clinic center in Crown Point, IN. ADVANCED DENTAL GROUP LLC NPI is 1497949044. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dental Concepts Of Winfield.

The provider's business location address is:

10780 RANDOLPH ST
CROWN POINT, IN
ZIP 46307-615
Phone: (219) 663-6579
Fax: (219) 663-5085

The provider's authorized official is Kim A Kessler .
The authorized official title is Partner and has the following contact phone number (219) 663-6579.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 6/19/2008.

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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