Organization
KAVEH N. ADEL, D.D.S., P.C.
Active
Other names
Naperville Family Dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH NASIREDDIN ADEL D.D.S. (PRESIDENT)
(630) 369-8950
Entity
Organization
Contact information
Practice address
612 E OGDEN AVE, NAPERVILLE, IL 60563-3237
(630) 369-8950
(630) 369-7342
Mailing address
612 E OGDEN AVE, NAPERVILLE, IL 60563-3237
(630) 369-8950
(630) 369-7342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019024954
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
019024954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-024954
ILLINOIS STATE DENTAL LICENSE
IL
01
—
1649342668
INDIVIDUAL NPI
—
Enumeration date
05/14/2015
Last updated
05/14/2015
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