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Bartlett Dental Specialist

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Bartlett, IL

NPI 1306679121 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1306679121
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
BARTLETT DENTAL SPECIALIST
Practice address
977 S Il Route 59
Bartlett, IL 60103-1670
Phone
(630) 855-6425
NPI assigned
Aug 26, 2024
Organization subpart
No

Authorized official

Name
Kalpesh Shah
Title
Owner
Phone
(630) 855-6425

Practitioners 1

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

National Provider Directory

Locations

977 S Il Route 59
Bartlett, IL 60103
Phone (630) 855-6425

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X
Pediatric Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223P0221X
Periodontics
Group: 193200000X MULTI-SPECIALTY GROUP		 1223P0300X
Prosthodontics
Group: 193200000X MULTI-SPECIALTY GROUP		 1223P0700X
Oral and Maxillofacial Surgery (Dentist)
Group: 193200000X MULTI-SPECIALTY GROUP		 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223X0400X Yes

Addresses

Primary practice location

977 S Il Route 59
Bartlett, IL 60103-1670

Mailing address

977 S Il Route 59
Bartlett, IL 60103-1670
Phone (630) 855-6425

Other providers in Bartlett, IL

All providers in Bartlett, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.