Ariel Idiare

General Practice Dentistry · Cicero, IL

Individual Active NPI

NPI number 1508476946

Practice location

2254 S Cicero Ave
Cicero, IL 60804-2411
Phone
(708) 656-2222

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NPI record

NPI
1508476946
Entity type
Individual (Type 1)
Enumeration date
July 31, 2020
Last updated
August 25, 2020
Certified
August 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019032880 IL

Mailing address

61 E 21st St Unit 430
Chicago, IL 60616-1732
Phone
(615) 975-7197

About Ariel Idiare

Ariel Idiare is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2254 S Cicero Ave, Cicero, IL 60804-2411. The NPI number 1508476946 was assigned on July 31, 2020 and the record was last updated on August 25, 2020.

Ariel Idiare lists a license in the registry: #019032880 (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 Ariel Idiare?

The NPI number is 1508476946.

What is the phone number of Ariel Idiare?

The phone number listed for the practice location is (708) 656-2222.

Where is Ariel Idiare located?

2254 S Cicero Ave, Cicero, IL 60804-2411.

What is the taxonomy code for Ariel Idiare?

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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