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Cosmetic And Implant Dental Center

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

NPI number1699028167
StatusActive
Last updated in NPPESOct 22, 2012

Details

NPI
1699028167
Entity type
Organization (NPI-2)
Legal business name
Cosmetic And Implant Dental Center
Organization subpart
No
Enumeration date
Oct 22, 2012
Last updated
Oct 22, 2012

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 Practice019017109ILYes

Practice location

6921 N Lincoln Ave
Lincolnwood, IL 60712-2605

Phone 847-675-7010 · Fax 847-675-7716

Mailing address

6921 N Lincoln Ave
Lincolnwood, IL 60712-2605

Phone 847-675-7010 · Fax 847-675-7716

Authorized official

Robert Bruce Silvers
Dentist
8476757010

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 Lincolnwood, IL

All 8 General Practice Dentistry providers in Lincolnwood · All 720 providers in Lincolnwood

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