Organization · Type 2 NPI

Dental Professionals of Illinois, PC

General Practice Dentistry · Lockport, IL

NPI number 1902269079 Active

Practice location

16620 W 159th St
Lockport, IL 60441-8012

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Lockport

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NPI record

NPI: 1902269079
Entity type: Organization (Type 2)
Issued: Apr 5, 2016
Last updated: Apr 5, 2016
Status: Active
Subpart: Yes of Dental Professionals of Illinois, PC

Other names

<unavail>
Porter Dental Center · doing business as

Authorized official

Kendra Walker
Credentialing Team Lead
(217) 540-8312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902269079

Dental Professionals of Illinois, PC's National Provider Identifier is 1902269079, issued on Apr 5, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lockport, IL. The record was last updated on Apr 5, 2016.