PVR Dental PC
Organization Active NPI General Practice Dentistry · Highwood, IL
NPI 1891196580 · NPPES record last updated Sep 12, 2014
Key facts
- NPI
- 1891196580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019028057 (IL)
- Legal business name
- PVR DENTAL PC
- Practice address
- 410 Greenbay Rd.
Suite #1
Highwood, IL 60040 - Phone
- (847) 230-9394
- NPI assigned
- Sep 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Priyadarshini Boinpally, DDS
- Title
- President
- Phone
- (330) 338-7080
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 019028057 | IL | Yes |
Addresses
Primary practice location
410 Greenbay Rd.
Suite #1
Highwood, IL 60040
Mailing address
483 Evergreen Dr
Vernon Hills, IL 60061-2907
Phone (847) 230-9394
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- Jennifer Marie Poliwka
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- Andrea Prizant
- Donald R. Raden
- Karen Raden
- Shawna Reinhardt
- Aileen Remot
- David Richards
All providers in Highwood, 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 Sep 12, 2014. 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.