DENTIST IN BLOOMINGDALE LLC
NPI 1093539363
Dentist - General Practice in Bloomingdale, IL

Active since November 13, 2024
366 W ARMY TRAIL RD STE 310A, BLOOMINGDALE, IL 60108(803) 830-6881 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dentist In Bloomingdale Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTIST IN BLOOMINGDALE LLC (NPI 1093539363) is a healthcare organization registered as a general practice in Bloomingdale, Illinois and active in the NPI registry since November 2024. The organization lists Sunil Reddy Eamani, Manager, as its authorized official.

NPPES Registry Identity

NPI1093539363
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTIST IN BLOOMINGDALE LLC
Location Address366 W ARMY TRAIL RD STE 310ABloomingdale, IL 60108-5602
Mailing Address366 W Army Trail Rd Ste 310aBloomingdale, IL 60108-5602 · (803) 830-6881
Organization SubpartNo
Authorized OfficialSunil Reddy EamaniManager · (803) 830-6881
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1093539363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
366 W ARMY TRAIL RD STE 310A, Bloomingdale, IL 60108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
366 W ARMY TRAIL RD STE 310A
BLOOMINGDALE, IL 60108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentist In Bloomingdale LLC's NPI number?

The NPI number for Dentist In Bloomingdale LLC is 1093539363. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is Dentist In Bloomingdale LLC located?

Dentist In Bloomingdale LLC is located at 366 W Army Trail Rd Ste 310A, Bloomingdale, IL 60108. The listed phone number is (803) 830-6881.

What is Dentist In Bloomingdale LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dentist In Bloomingdale LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dentist In Bloomingdale LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dentist In Bloomingdale LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.