BALTIERRES DENTAL P.C. – NPI #1730210154
Clinic/Center

BALTIERRES DENTAL P.C. is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1730210154 to BALTIERRES DENTAL P.C. on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BALTIERRES DENTAL P.C. is also known by the name GABRIELA BALTIERRES. 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 BALTIERRES DENTAL P.C. below.

NPI Profile for
BALTIERRES DENTAL P.C.

NPI Number
1730210154
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
BALTIERRES DENTAL P.C.
Other Name: GABRIELA BALTIERRES
Primary location
4900 S ARCHER AVE
CHICAGO, IL 60632-3663
Phone: (773) 582-7200 Fax: (773) 582-4148
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GABRIELA BALTIERRES
PRES
Phone: (773) 843-1980
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

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.