Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TWO RIVERS DENTAL
Active
Organization
TWO RIVERS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization
Contact information
Practice address
1196 W BOUGHTON RD, BOLINGBROOK, IL 60440-6567
(630) 759-9929
(630) 759-9922
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(630) 759-9929
(630) 759-9922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024809
IL
Other
Enumeration date
01/12/2010
Last updated
12/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up