Dr. Shaun Raj Varghese, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in North Aurora, IL. Individual provider (NPI-1).
NPI number1639201601
StatusActive
Last updated in NPPESJun 13, 2020
Details
- NPI
- 1639201601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shaun Raj Varghese
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Certification date
- Jun 13, 2020
- Last updated
- Jun 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 021.002107 | IL | Yes |
Practice location
1225 Oak StNorth Aurora, IL 60542-2006
Phone 630-907-9680 · Fax 630-907-9682
Mailing address
1225 Oak StNorth Aurora, IL 60542-2006
Phone 630-907-9680 · Fax 630-907-9682
Other practice locations
10703 Ruth Rd Ste A
Huntley, IL 60142-7156
Huntley, IL 60142-7156
Phone 847-961-5515 · Fax 630-907-9682
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