Clarissa Couch, DDS

Dentist · Bridgeview, IL

Individual Active NPI

NPI number 1447388764

Practice location

10220 S 76TH Ave
Suite 250
Bridgeview, IL 60455-2425
Phone
(708) 974-6160

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NPI record

NPI
1447388764
Entity type
Individual (Type 1)
Enumeration date
February 28, 2007
Last updated
April 22, 2021
Certified
April 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019-022817 IL
Public Health Dentistry 1223D0001X 019022817 IL

Mailing address

2020w Harrison St
Chicago, IL 60612-3741
Phone
(312) 572-4788

About Dr. Couch

Clarissa Couch, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10220 S 76TH Ave, Suite 250, Bridgeview, IL 60455-2425. The NPI number 1447388764 was assigned on February 28, 2007 and the record was last updated on April 22, 2021.

Dr. Couch lists 2 licenses in the registry: #019-022817 (IL) for Dentist; #019022817 (IL) for Public Health Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clarissa Couch, DDS?

The NPI number is 1447388764.

What is the phone number of Dr. Couch?

The phone number listed for the practice location is (708) 974-6160.

Where is Dr. Couch located?

10220 S 76TH Ave, Suite 250, Bridgeview, IL 60455-2425.

What is the taxonomy code for Dr. Couch?

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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