Avid Dental Lindenhurst, LLC

Dentist · Lake Villa, IL

Organization Active NPI

NPI number 1609199165

Practice location

2246 E. Grand Ave
Lake Villa, IL 60046
Phone
(847) 265-6444
Fax
(847) 265-6464

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NPI record

NPI
1609199165
Entity type
Organization (Type 2)
Enumeration date
March 11, 2010
Last updated
July 18, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —
General Practice Dentistry 1223G0001X — —

Authorized official

Name
Meenal L Goel, DDS
Title
Owner/President
Phone
(847) 530-2828

About Avid Dental Lindenhurst, LLC

Avid Dental Lindenhurst, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2246 E. Grand Ave, Lake Villa, IL 60046. The NPI number 1609199165 was assigned on March 11, 2010 and the record was last updated on July 18, 2019.

The authorized official for this organization is Meenal L Goel, DDS, Owner/President.

Frequently asked questions

What is the NPI number of Avid Dental Lindenhurst, LLC?

The NPI number is 1609199165.

What is the phone number of Avid Dental Lindenhurst, LLC?

The phone number listed for the practice location is (847) 265-6444.

Where is Avid Dental Lindenhurst, LLC located?

2246 E. Grand Ave, Lake Villa, IL 60046.

What is the taxonomy code for Avid Dental Lindenhurst, LLC?

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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