VALLEY CREEK FAMILY DENTAL LTD – NPI #1386168953
Clinic/Center

VALLEY CREEK FAMILY DENTAL LTD is an AHC clinic located in TINLEY PARK, IL. NPPES has assigned the NPI number 1386168953 to VALLEY CREEK FAMILY DENTAL LTD on July 26, 2017. 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 9 years ago on Aug 24, 2017. 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 VALLEY CREEK FAMILY DENTAL LTD below.

NPI Profile for
VALLEY CREEK FAMILY DENTAL LTD

NPI Number
1386168953
Enumeration Date

(about 9 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
VALLEY CREEK FAMILY DENTAL LTD
Primary location
16653 80TH AVE
TINLEY PARK, IL 60477
Phone: (708) 429-9699 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICK MITSOS
PRESIDENT
Phone: (708) 429-9699
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)		 IL 019029811

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.