Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALTA FAMILY DENTAL LLC
Active OrganizationMALTA FAMILY DENTAL LLC is a Dentist organization located in MALTA, Illinois. NPI 1063791218 is currently active in the NPPES registry. Verify at CMS.
Dentist · MALTA, IL
Registration Details
- NPI Number
- 1063791218
- Provider Type
- Organization
- NPI Issued
- Aug 5, 2011 (15.018306734002 yrs)
- Last Updated
- Aug 5, 2011
- Licenses
-
020010952 (IL)019027588 (IL)
Practice Information
- Address
-
304 VAN BUREN STMALTA, IL, 601509512Browse IL providers · Browse ZIP 60150
- Phone
- 8158255025
- Fax
- 8155160205
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.