Dentistar PC

Dentist · Glenview, IL

Organization Active NPI

NPI number 1598203770

Practice location

1615 Milwaukee Ave Ste 120
Glenview, IL 60025-1444
Phone
(224) 938-9417
Fax
(224) 938-9453

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NPI record

NPI
1598203770
Entity type
Organization (Type 2)
Enumeration date
February 7, 2017
Last updated
February 7, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019027805 IL

Authorized official

Name
Dr. Sam Shin, DDS
Title
Dentist
Phone
(224) 938-9417

About Dentistar PC

Dentistar PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1615 Milwaukee Ave Ste 120, Glenview, IL 60025-1444. The NPI number 1598203770 was assigned on February 7, 2017 and the record was last updated on February 7, 2017.

Dentistar PC lists a license in the registry: #019027805 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Sam Shin, DDS, Dentist.

Frequently asked questions

What is the NPI number of Dentistar PC?

The NPI number is 1598203770.

What is the phone number of Dentistar PC?

The phone number listed for the practice location is (224) 938-9417.

Where is Dentistar PC located?

1615 Milwaukee Ave Ste 120, Glenview, IL 60025-1444.

What is the taxonomy code for Dentistar PC?

The primary taxonomy code is 122300000X – Dentist.

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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