Organization · Type 2 NPI

Park BLVD Dentistry

Dentist · Glen Ellyn, IL

NPI number 1194178111 Active

Practice location

45 S Park Blvd, Ste 190
Glen Ellyn, IL 60137-6280

Call (630) 469-0800 Map

Fax (630) 474-0597

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1194178111

Park BLVD Dentistry's National Provider Identifier is 1194178111, issued on Jul 14, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jul 14, 2016.