Organization · Type 2 NPI

Blue Island Smiles PC

General Practice Dentistry · Blue Island, IL

NPI number 1942842810 Active

Practice location

12059 Western Avenue
Blue Island, IL 60406

Map

Mailing address

12059 Western Ave
Blue Island, IL 60406-1162

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.

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NPI record

NPI: 1942842810
Entity type: Organization (Type 2)
Issued: Oct 12, 2019
Last updated: Aug 24, 2020
Status: Active

Other names

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Blue Island Smiles Family Dentistry · doing business as
Blue Island Smiles Family Dentistry · doing business as

Authorized official

Dr. Abhishek Nagaraj, DDS
Owner
(708) 371-3844

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About NPI 1942842810

Blue Island Smiles PC's National Provider Identifier is 1942842810, issued on Oct 12, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blue Island, IL. The record was last updated on Aug 24, 2020.