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Dr. Andrew Modi, DDS
General Practice Dentistry in Lake Villa, Illinois
NPI 1538353818

Andrew Modi is a General Practice Dentistry based in Lake Villa, IL and is specialized in General Practice. Andrew Modi practices in Lake Villa, IL and has the professional credentials of DDS. The NPI Number for Andrew Modi is 1538353818 and holds a License No. 019024927 (Illinois).

The current practice location address for Andrew Modi is 95 W Grand Ave, Lake Villa, IL and can be reached out via phone at 847-356-2336.

Location: 95 W Grand Ave, Lake Villa, IL, 60046-8641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538353818
Provider Name
Andrew Modi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
95 W Grand Ave, Lake Villa, IL, 60046-8641
Phone Number
847-356-2336
Fax Number
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
95 W Grand Ave
City
Lake Villa
State
Illinois
Zip
60046-8641
Phone Number
847-356-2336
Fax Number
person
Provider Business Mailing Address Details
Address
95 W Grand Ave
City
Lake Villa
State
Illinois
Zip
60046-8641
Phone Number
847-356-2336
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019024927 (Illinois)
Definition
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.
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