Provider Demographics
NPI:1740978055
Name:AFFORDABLE DENTURES & IMPLANTS - DOWNERS GROVE, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - DOWNERS GROVE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:331-260-6200
Mailing Address - Street 1:1300 BUTTERFIELD RD STE 310
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1006
Mailing Address - Country:US
Mailing Address - Phone:331-260-6200
Mailing Address - Fax:
Practice Address - Street 1:1300 BUTTERFIELD RD STE 310
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1006
Practice Address - Country:US
Practice Address - Phone:331-260-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty