FAMILY DENTAL HEALTH CENTER – NPI #1912153479
Clinic/Center

FAMILY DENTAL HEALTH CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1912153479 to FAMILY DENTAL HEALTH CENTER on August 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY DENTAL HEALTH CENTER” is a dba name, the actual legal business name for this organization is ACCUDENT ASSOCIATES LLC. 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 7 years ago on Apr 18, 2019. 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 FAMILY DENTAL HEALTH CENTER below.

NPI Profile for
ACCUDENT ASSOCIATES LLC

NPI Number
1912153479
Enumeration Date

(about 18 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
ACCUDENT ASSOCIATES LLC
Doing Business As (dba): FAMILY DENTAL HEALTH CENTER
Primary location
811 S. WESTERN AVE
CHICAGO, IL 60612
Phone: (312) 226-0210 Fax: (312) 226-0240
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS SHIMODA
DENTIST
Phone: (312) 226-0210
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 019016473

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.