Organization · Type 2 NPI

Siri Chanthasalo, D.d.s., P.c.

General Practice Dentistry · Elgin, IL

NPI number 1114178183 Active

Practice location

3091 W. Route 20, #103
Elgin, IL 60124

Mailing address

452 Westport Dr
Pingree Grove, IL 60140-9172

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.025831 (IL)

General Practice Dentistry: 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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About NPI 1114178183

Siri Chanthasalo, D.d.s., P.c.'s National Provider Identifier is 1114178183, issued on Oct 8, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elgin, IL. The record was last updated on Oct 8, 2008.