Individual provider · Type 1 NPI

Gaurav Pravinchandra Modi

General Practice Dentistry · Mundelein, IL

NPI number 1215856992 Active

Practice location

1174 W Maple Ave
Mundelein, IL 60060-1438

Call (847) 305-4700 Map

Mailing address

272 Le Parc Cir
Buffalo Grove, IL 60089-6903

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.037316 (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 1215856992

Gaurav Pravinchandra Modi's National Provider Identifier is 1215856992, issued on Jul 15, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mundelein, IL. The record was last updated on Jul 15, 2026.