John E. Minalt, DDS

General Practice Dentistry · Harvard, IL

Individual Active NPI

NPI number 1669567491

Practice location

200 W Front St Ste 90
Harvard, IL 60033-2709
Phone
(815) 236-8694

Open in Google Maps

NPI record

NPI
1669567491
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
June 29, 2023
Certified
June 29, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019-021250 IL
Dentist 122300000X 6204-15 WI

About Dr. Minalt

John E. Minalt, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 200 W Front St Ste 90, Harvard, IL 60033-2709. The NPI number 1669567491 was assigned on October 4, 2006 and the record was last updated on June 29, 2023.

Dr. Minalt lists 2 licenses in the registry: #019-021250 (IL) for General Practice Dentistry; #6204-15 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John E. Minalt, DDS?

The NPI number is 1669567491.

What is the phone number of Dr. Minalt?

The phone number listed for the practice location is (815) 236-8694.

Where is Dr. Minalt located?

200 W Front St Ste 90, Harvard, IL 60033-2709.

What is the taxonomy code for Dr. Minalt?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 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.

Other General Practice Dentistry providers in Harvard

All General Practice Dentistry providers in Harvard, IL →