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Dental Professionals Of Algonquin, P.C.

Dentist, General Practice in Algonquin, IL. Organization (NPI-2).

NPI number1508935305
StatusActive
Last updated in NPPESMay 21, 2014

Details

NPI
1508935305
Entity type
Organization (NPI-2)
Legal business name
Dental Professionals Of Algonquin, P.C.
Organization subpart
No
Enumeration date
Nov 7, 2006
Last updated
May 21, 2014

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 codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019025478ILYes

Practice location

1485 Merchant Dr
Algonquin, IL 60102-5917

Phone 847-458-6684 · Fax 847-458-6683

Mailing address

1485 Merchant Dr
Algonquin, IL 60102-5917

Phone 847-458-6684 · Fax 847-458-6683

Authorized official

Kevin D An
President
8474586684

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.

Other General Practice Dentistry providers in Algonquin, IL

All 20 General Practice Dentistry providers in Algonquin · All 702 providers in Algonquin

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