Apex Dental Clinic INC
Clinic/Center, Dental in Chicago, IL. Organization (NPI-2).
NPI number1396258000
StatusActive
Last updated in NPPESNov 16, 2017
Details
- NPI
- 1396258000
- Entity type
- Organization (NPI-2)
- Legal business name
- Apex Dental Clinic INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2017
- Last updated
- Nov 16, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 019.031286 | IL | Yes |
Practice location
3334 W Peterson Ave Uppr LevelChicago, IL 60659-3505
Phone 773-267-1110 · Fax 773-267-1110
Mailing address
4939 N Kimball Ave Apt 2Chicago, IL 60625-5110
Phone 908-265-2986
Authorized official
Suhel Dukanwala
Owner
9082652986
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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