Prutha Desai

General Practice Dentistry · Streamwood, IL

Individual Active NPI

NPI number 1912369794

Practice location

3 Warwick Ct
Streamwood, IL 60107-1926
Phone
(630) 415-9618

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NPI record

NPI
1912369794
Entity type
Individual (Type 1)
Enumeration date
March 22, 2016
Last updated
January 10, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.030690 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

About Prutha Desai

Prutha Desai is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3 Warwick Ct, Streamwood, IL 60107-1926. The NPI number 1912369794 was assigned on March 22, 2016 and the record was last updated on January 10, 2018.

Prutha Desai lists a license in the registry: #019.030690 (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 Prutha Desai?

The NPI number is 1912369794.

What is the phone number of Prutha Desai?

The phone number listed for the practice location is (630) 415-9618.

Where is Prutha Desai located?

3 Warwick Ct, Streamwood, IL 60107-1926.

What is the taxonomy code for Prutha Desai?

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.

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