Organization · Type 2 NPI
Gogineni Dental
Dental Clinic/Center · New Lenox, IL
NPI number
1114858776
Active
Practice location
210 N Pine St
New Lenox, IL 60451-1757
Mailing address
1322 S Prairie Ave Unit 1001
Chicago, IL 60605-3074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1114858776
Gogineni Dental's National Provider Identifier is 1114858776, issued on May 25, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in New Lenox, IL. The record was last updated on May 25, 2026.