Organization
BARTLETT DENTAL SPECIALIST
Active
Organization
BARTLETT DENTAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPESH SHAH (OWNER)
(630) 855-6425
Entity
Organization
Contact information
Practice address
977 S IL ROUTE 59, BARTLETT, IL 60103-1670
(630) 855-6425
Mailing address
977 S IL ROUTE 59, BARTLETT, IL 60103-1670
(630) 855-6425
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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