BOLINGBROOK DENTAL ASSOCIATES LLC – NPI #1003370248
Clinic/Center

BOLINGBROOK DENTAL ASSOCIATES LLC is an AHC clinic located in BOLINGBROOK, IL. NPPES has assigned the NPI number 1003370248 to BOLINGBROOK DENTAL ASSOCIATES LLC on January 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOLINGBROOK DENTAL ASSOCIATES LLC below.

NPI Profile for
BOLINGBROOK DENTAL ASSOCIATES LLC

NPI Number
1003370248
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOLINGBROOK DENTAL ASSOCIATES LLC
Primary location
391 QUADRANGLE DR
BOLINGBROOK, IL 60440-3442
Phone: (630) 759-4400 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OSCAR GONZALEZ
DIRECTOR OF OPERATIONS
Phone: (219) 465-8627
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.