Keith Mellovitz, DDS

Dentist · Highland Park, IL

Individual Active NPI

NPI number 1205902194

Practice location

1893 Sheridan Rd
Suite 318
Highland Park, IL 60035
Phone
(847) 433-9350
Fax
(847) 433-9355

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NPI record

NPI
1205902194
Entity type
Individual (Type 1)
Enumeration date
November 24, 2006
Last updated
March 26, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X A17241 IL
General Practice Dentistry 1223G0001X 019.017241 IL

Mailing address

1893 Sheridan Road
Suite 318
Highland Park, IL 60035
Phone
(847) 433-9350
Fax
(847) 433-9355

About Dr. Mellovitz

Keith Mellovitz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1893 Sheridan Rd, Suite 318, Highland Park, IL 60035. The NPI number 1205902194 was assigned on November 24, 2006 and the record was last updated on March 26, 2018.

Dr. Mellovitz lists 2 licenses in the registry: #A17241 (IL) for Dentist; #019.017241 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Mellovitz, DDS?

The NPI number is 1205902194.

What is the phone number of Dr. Mellovitz?

The phone number listed for the practice location is (847) 433-9350.

Where is Dr. Mellovitz located?

1893 Sheridan Rd, Suite 318, Highland Park, IL 60035.

What is the taxonomy code for Dr. Mellovitz?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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