MUNDELEIN FAMILY DENTAL LLC – NPI #1801671920
Clinic/Center

MUNDELEIN FAMILY DENTAL LLC is an AHC clinic located in MUNDELEIN, IL. NPPES has assigned the NPI number 1801671920 to MUNDELEIN FAMILY DENTAL LLC on August 28, 2023. 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 MUNDELEIN FAMILY DENTAL LLC below.

NPI Profile for
MUNDELEIN FAMILY DENTAL LLC

NPI Number
1801671920
Enumeration Date

(about 3 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
MUNDELEIN FAMILY DENTAL LLC
Primary location
718 IL-83
MUNDELEIN, IL 60060
Phone: (847) 497-0092 Fax:
Mailing address
157 CARDINAL DR
HAWTHORN WOODS, IL 60047-7570
Phone: Fax:
Organization Subpart
No
Authorized Official
SADIA AHMED
DENTIST
Phone: (847) 497-0092
Updated
Certification Date
Aug 22, 2023

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.