Rajiv Khurana, D.D.S.
Individual provider Active NPI General Practice Dentistry · South Holland, IL
NPI 1386709079 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1386709079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 16270 Prince Dr
South Holland, IL 60473-3233 - Phone
- (708) 333-2213
- NPI assigned
- Dec 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-024350 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Care 4 U P C | Current |
Accepting new patients | |
| Dental Care 4 U P C | Current |
Accepting new patients |
Locations
16270 Prince Dr
South Holland, IL 60473
Phone (708) 333-2213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Yes |
Addresses
Primary practice location
16270 Prince Dr
South Holland, IL 60473-3233
Mailing address
16270 Prince Dr
South Holland, IL 60473-3233
Phone (708) 333-2213
Other providers in South Holland, IL
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- Patricia Kenerson
- Kevlar Express Transit LLC
- Mohayya Khilfeh
- Kimballs Healthcare Consultants
- Tamaraka King-Audu
- Tonia E. King
- Leta M Knighten
- Allison G Kocher
All providers in South Holland, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.