Provider Demographics
NPI:1225819782
Name:DENTAL ASSOCIATES OF NORTH PIER
Entity Type:Organization
Organization Name:DENTAL ASSOCIATES OF NORTH PIER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANMEET
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-806-3026
Mailing Address - Street 1:419 E ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4305
Mailing Address - Country:US
Mailing Address - Phone:312-321-7645
Mailing Address - Fax:
Practice Address - Street 1:419 E ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4305
Practice Address - Country:US
Practice Address - Phone:312-321-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty