Organization · Type 2 NPI
Office Anesthesiology and Dental Consultants, PC
Dental Anesthesiology · Lombard, IL
Practice location
427 W Windsor Ave
Lombard, IL 60148-2129
Fax (877) 620-5899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology | 1223D0004X | 019024338 (IL) |
| Dental Anesthesiology | 1223D0004X | 12011109A (IN) |
| Dental Anesthesiology | 1223D0004X | 319014980 (IL) |
| Dental Anesthesiology Primary | 1223D0004X | 137000423 (IL) |
| Anesthesiology Physician | 207L00000X | 137-000423 (IL) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1649575630
Office Anesthesiology and Dental Consultants, PC's National Provider Identifier is 1649575630, issued on Jan 21, 2011. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Lombard, IL. The record was last updated on May 17, 2013.