ERIE DENTAL HEALTH CENTER – NPI #1235250119
Clinic/Center

ERIE DENTAL HEALTH CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1235250119 to ERIE DENTAL HEALTH CENTER on April 02, 2007. 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

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ERIE DENTAL HEALTH CENTER below.

NPI Profile for
ERIE DENTAL HEALTH CENTER

NPI Number
1235250119
Enumeration Date

(more than 19 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
ERIE DENTAL HEALTH CENTER
Primary location
4751 N KEDZIE AVE
CHICAGO, IL 60625
Phone: (773) 279-2947 Fax:
Mailing address
1701 W SUPERIOR ST
CHICAGO, IL 60622-5646
Phone: (312) 666-3494 Fax: (312) 666-0610
Organization Subpart
No
Authorized Official
LEE FRANCIS
MEDICAL DIRECTOR INTERIM CEO
Phone: (312) 432-7394
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.