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Contact Information

A-DENTA CARE SPECIALIST PC
5780 N LINCOLN AVE
CHICAGO, IL60659-4721
 Phone: 773-769-1754
 Fax: 773-769-1370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for A DENTA CARE SPECIALIST PC · (Female)

NPI # 1417223470
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2012
Last updated 03/23/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 021001402
  • IL License # 021002411
  • IL License # 021002414
  • IL Other 1962592865 DENTAL PROVIDER
  • IL Other 136645657 NPI DENTAL PROVIDER
  • IL Other 1619133345 NPI DENTAL PROVIDER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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