Ivory Dental
NPI #1124549399 in Plainfield, Illinois
Provider Information
- NPI Number
- 1124549399
- Entity Type
- Organization
- Organization Name
- Ivory Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVORY DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 28, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 12624 S ROUTE 59
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-5448
- Phone
- (815) 577-0900
Authorized Official
- Name
- DR. SHEFALI PATEL
- Title
- OWNER
- Phone
- (815) 577-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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