AMBER DENTAL PC NPI 1790280758

NPI Information

  • NPI: 1790280758
  • Provider Name: AMBER DENTAL PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 319 E ROOSEVELT RD
    WHEATON, IL
    ZIP 60187
  • Phone: (630) 665-5555

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NPI Details

AMBER DENTAL PC is a dental clinic center in Wheaton, IL. AMBER DENTAL PC NPI is 1790280758. The provider is registered as an organization entity type.

The provider's business location address is:

319 E ROOSEVELT RD
WHEATON, IL
ZIP 60187-526
Phone: (630) 665-5555

The provider's authorized official is Michael Koehne .
The authorized official title is President/dentist and has the following contact phone number (630) 665-5555.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.

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
1261QD0000XClinic/CenterDental019019448ILLINOISYes

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: 3/30/2025

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