Active NPIOrganization

Abc Dental PC

Preferred Provider Organization in Chicago, Illinois

NPI Number1982081055
Practice location
4608 W Diversey Ave, Chicago, IL 60639-1801
Fax
—
Last updated
April 28, 2015

Abc Dental PC is a healthcare organization based in Chicago, IL. The NPI number for Abc Dental PC is 1982081055 and holds license No. 19026509 (IL). The current practice location address is 4608 W Diversey Ave, Chicago, IL 60639-1801 and the office can be reached by phone at 312-919-6266. The NPI was assigned on April 28, 2015 and the record was last updated in NPPES on April 28, 2015.

●Provider Profile Details

NPI Number
1982081055
Provider Name
Abc Dental PC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Preferred Provider Organization · 305R00000X
Organization Subpart
No
Authorized Official
Nada Zayzafoon · Owner · 312-919-6266
Enumeration Date
April 28, 2015
Last Update Date
April 28, 2015
NPI Status
Active

◉Business Practice Location Address

Address
4608 W Diversey Ave
Chicago, IL 60639-1801
ZIP
60639-1801
Country
US
Phone Number
312-919-6266

Get directions →

✉Business Mailing Address

Address
4608 W Diversey Ave
Chicago, IL 60639-1801
City
Chicago
State
IL
ZIP
60639-1801
Phone Number
312-919-6266

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Preferred Provider Organization305R00000XYes19026509IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Abc Dental PC?

The NPI number of Abc Dental PC is 1982081055. It was assigned on April 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Abc Dental PC?

Abc Dental PC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X) and holds license No. 19026509 (IL).

Where does Abc Dental PC practice?

The practice location is 4608 W Diversey Ave, Chicago, IL 60639-1801. The office can be reached at 312-919-6266 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982081055 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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