Ami S Barot, DDS

Individual provider Active NPI General Practice Dentistry · Dekalb, IL

NPI 1437728367 · NPPES record last updated Jun 24, 2021

Key facts

NPI
1437728367
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
019.033163 (IL)
Practice address
2235 Sycamore Rd
Dekalb, IL 60115-2046
Phone
(815) 517-0178
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019.033163ILMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.033163 IL Yes

Addresses

Primary practice location

2235 Sycamore Rd
Dekalb, IL 60115-2046

Mailing address

2510 Arcadia Cir
Naperville, IL 60540-8391
Phone (630) 864-8077

Other providers in Dekalb, IL

All providers in Dekalb, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.