KINGERY DENTAL HEALTH AND WELLNESS – NPI #1396471470
Clinic/Center

KINGERY DENTAL HEALTH AND WELLNESS is an AHC clinic located in DARIEN, IL. NPPES has assigned the NPI number 1396471470 to KINGERY DENTAL HEALTH AND WELLNESS on July 29, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KINGERY DENTAL HEALTH AND WELLNESS” is a dba name, the actual legal business name for this organization is DENTAL CLUB DARIEN P.C.. 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 last updated on Oct 17, 2024. 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 KINGERY DENTAL HEALTH AND WELLNESS below.

NPI Profile for
DENTAL CLUB DARIEN P.C.

NPI Number
1396471470
Enumeration Date

(about 4 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
DENTAL CLUB DARIEN P.C.
Doing Business As (dba): KINGERY DENTAL HEALTH AND WELLNESS
Primary location
6700 IL-83
DARIEN, IL 60561
Phone: (630) 934-0439 Fax:
Mailing address
11310 POPLAR CREEK LN
ORLAND PARK, IL 60467-7308
Phone: (708) 305-0729 Fax:
Organization Subpart
No
Authorized Official
THOMAS RYAN
PRESIDENT
Phone: (708) 305-0729
Updated
Certification Date
Oct 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.