Jose Villa DDS PC

General Practice Dentistry · Waukegan, IL

Organization Active NPI

NPI number 1053706481

Practice location

2841 Grand Ave
Waukegan, IL 60085-2372
Phone
(847) 360-1610
Fax
(847) 360-1689

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NPI record

NPI
1053706481
Entity type
Organization (Type 2)
Enumeration date
April 2, 2015
Last updated
April 2, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019021973 IL

Authorized official

Name
Ms. Brusela F. Villa
Title
Generalist/Assistant Bookkeeper
Phone
(773) 458-4443

Other names

  • Family Dental Care

About Jose Villa DDS PC

Jose Villa DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2841 Grand Ave, Waukegan, IL 60085-2372. The NPI number 1053706481 was assigned on April 2, 2015 and the record was last updated on April 2, 2015.

Jose Villa DDS PC lists a license in the registry: #019021973 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Brusela F. Villa, Generalist/Assistant Bookkeeper.

Frequently asked questions

What is the NPI number of Jose Villa DDS PC?

The NPI number is 1053706481.

What is the phone number of Jose Villa DDS PC?

The phone number listed for the practice location is (847) 360-1610.

Where is Jose Villa DDS PC located?

2841 Grand Ave, Waukegan, IL 60085-2372.

What is the taxonomy code for Jose Villa DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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