Organization · Type 2 NPI
Park Avenue Dental Professionals, PC
General Practice Dentistry · Libertyville, IL
NPI number
1184119950
Active
Practice location
1001 W. Park Avenue
Libertyville, IL 60048
Mailing address
1001 W Park Ave
Libertyville, IL 60048-2550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019029777 (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 1184119950
Park Avenue Dental Professionals, PC's National Provider Identifier is 1184119950, issued on Jun 25, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Libertyville, IL. The record was last updated on Jun 25, 2018.