Organization · Type 2 NPI

Accudent Associates LLC

Dental Clinic/Center · Chicago, IL

NPI number 1912153479 Active

Practice location

811 S. Western Ave
Chicago, IL 60612

Fax (312) 226-0240

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	019016473 (IL)

Dental Clinic/Center: Definition to come...

Other dental clinic/center providers in Chicago

See all in Chicago →

NPI record

NPI: 1912153479
Entity type: Organization (Type 2)
Issued: Aug 14, 2008
Last updated: Apr 18, 2019
Status: Active

Other names

<unavail>
Family Dental Health Center · doing business as
Family Dental Health Center · doing business as

Authorized official

Dr. Thomas Edward Shimoda, DDS
Dentist
(312) 226-0210

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.

Is this your record? How to update it.

About NPI 1912153479

Accudent Associates LLC's National Provider Identifier is 1912153479, issued on Aug 14, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 18, 2019.