Provider Demographics
NPI:1235543257
Name:KAKADIA, MINALBEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MINALBEN
Middle Name:
Last Name:KAKADIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MINALBEN
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:341 GAVIN CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-5058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 N WEBER RD
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-5355
Practice Address - Country:US
Practice Address - Phone:815-372-1160
Practice Address - Fax:815-372-1162
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20675122300000X
IL019030906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist