Advanced Family Dental, P.C.

Organization Active NPI Dentist · Crest Hill, IL

NPI 1275734865 · NPPES record last updated Jan 23, 2008

Key facts

NPI
1275734865
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
19016447 (IL)
Legal business name
ADVANCED FAMILY DENTAL, P.C.
Practice address
2241 Theodore St.
Crest Hill, IL 60403-1881
Phone
(815) 741-1700
Fax
(815) 741-8511
NPI assigned
May 30, 2007
Organization subpart
No

Authorized official

Name
Dr. David J. Rubis, DDS NPI 1699873588
Title
Owner
Phone
(815) 741-1700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Advanced Family Dental and Orthodontics PC (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 19016447 IL Yes

Addresses

Primary practice location

2241 Theodore St.
Crest Hill, IL 60403-1881

Mailing address

2241 Theodore St
Crest Hill, IL 60435-1881
Phone (815) 741-1700

Other providers in Crest Hill, IL

All providers in Crest Hill, IL · Dentist in Illinois

Sources for this page

Verify at the official NPI Registry.